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Heart Disease Seen in Some Younger COVID-19 Patients
Health professionals continue to see heart disease in some young people who have had COVID-19, those who have been vaccinated against the virus, and among student athletes, in general.
Cardiomyopathy is an inflammation and weakening in the walls of the heart.
The Centers for Disease Control and Prevention (CDC) in Atlanta has reviewed vaccine safety data weekly since the start of the U.S. vaccination program and cautions that cases among those who have received the COVID-19 vaccine are “mild and few.” The agency says the condition appears in males more than females, more often following the second shot in a two-dose regimen, and usually around four days after the vaccination.
Coronavirus-related cardiomyopathy was first observed last year in younger people when college athletes resumed play as the pandemic spread in the United States. College sport events generate significant revenues for colleges and universities, and some big schools that draw thousands into stadiums returned players to campus with the hope of public events resuming sooner than later.
In a study of college athletes conducted since last September, a higher incidence of cardiomyopathy, also called myocarditis, has been seen in athletes who contracted the coronavirus, or SARS-CoV-2. Symptoms include shortness of breath, weakness, tiredness, dizziness and abnormal heart rhythm, according to the Mayo Clinic in Minnesota.
“Myocarditis is a leading cause of sudden death in competitive athletes,” researchers wrote in JAMA Cardiology in May, adding, “Myocardial inflammation is known to occur with SARS-CoV-2,” the medical name for the coronavirus.
Another study published in the Journal of the American College of Cardiology in March found that more than one in three “previously healthy college athletes recovering from COVID-19 infection showed … resolving pericardial inflammation.”
Resolving is the key word here: Researchers concluded that “no athlete showed ... features to suggest an ongoing myocarditis,” or inflammation of the heart walls. Knowing when athletes should play or rest is important, and research has not nailed down the long-term effects yet, the researchers said.
“Further studies are needed to understand the clinical implications and long-term evolution of these abnormalities in uncomplicated COVID-19,” they wrote.
Pediatric cardiologist Geoffrey Rosenthal has observed myocarditis in young people, specifically during the pandemic. He has been the team cardiologist for the University of Maryland, College Park since 2020.
“Myocarditis is one of the more common causes of sudden death in athletes,” said Rosenthal.
“If someone had myocarditis, it’s one of the standard recommendations that they not exercise strenuously for three to six months after their diagnosis to allow time for their heart to heal, and lessen their risk of a sudden event,” he said.
The residual health of athletes who have had COVID is being assessed to try to understand the risks.
Ohio State University (OSU) was one of the big universities that brought players back to campus amid the pandemic and detected heart changes in athletes who tested positive for the infection.
It has led the effort to monitor athletes by overseeing a registry of nearly 1,600 COVID-19 positive athletes in the Big Ten sports conference, or a division of 14 colleges and universities among other divisions nationally.
Looking at a smaller sample of 37 athletes diagnosed with myocarditis, 28 didn’t exhibit symptoms, reported OSU.
Rosenthal noted that research and cooperation among universities has advanced detection of myocarditis among young people and student athletes, who are largely asymptomatic, by using magnetic resonance imaging (MRI). The University of Maryland adopted cardiac MRI screening for athletes before almost all other universities in the country as the pandemic was starting, he said.
“The EKG is normal, and their blood tests are normal, and their echo [cardiogram] is OK,” Rosenthal explained. “And then we get the MRI and find out that there's an abnormality that we weren't expecting, and that we never would have found out about had we not done the MRI.
“There's still a lot of cardiac work that's going on in the younger student population,” Rosenthal said.
And this advancement in detection will help other athletes, younger and older.
“There's also hope that it will inform our understanding of COVID in older athletes, in older and non-elite athletes. … the weekend warriors,” he said.
But this research will also help non-athletes whose jobs demand physical labor.
“Other populations that these results might help inform is the military and other professions and occupations in which physical activity is part of what people are doing,” Rosenthal said. “First responders, firefighters, policemen, you know, other people whose jobs have physical demands. In addition to gaining insight into the health of our student athletes what other populations can we help through this work?”
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US advisory council ends Nigeria visit, signs student exchange deal
Members of a U.S. presidential advisory council have approved a student exchange deal between an American college and a Nigerian university as part of the council's effort to strengthen collaboration on education, health, entrepreneurship and development between Africa and Africans living abroad.
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Nigerian authorities and visitors chatted with members of the U.S President's Advisory Council on African Diaspora Engagement as they toured a healthcare facility in Karu, a suburb of Abuja, on the last day of the council's three-day visit to Abuja and Lagos.
The facility is one of many supported by the United States Agency for International Development, or USAID, to improve the management of childhood illnesses, family planning, immunization and delivery.
The tour was part of the council's effort to promote African diaspora-led investments in technology entrepreneurship, education and healthcare delivery.
"They're doing a phenomenal job there, it really gave us a sense of what the healthcare system is in Nigeria," said Deniece Laurent-Mantey, executive director of the advisory council. "This is our first trip as a council to the continent and we chose Nigeria for a reason — the diaspora in Nigeria is very active, very influential, and they're really a source of strength when it comes to our U.S.-Africa policy. And so for us coming to Nigeria was very intentional."
The council was created by President Joe Biden in September to improve collaboration between Africa and its diaspora in terms of economic and social development.
Akila Udoji, manager of the Primary Healthcare Centre of Karu, said officials in Nigeria were pleased that the council members were able to visit.
"We're happy that they have seen what the money they have given to us to work with has been used to do, because they have been able to assist us in capacity-building, trainings, equipment supply and the makeover of the facility," Udoji said.
Earlier, the council signed a deal for a student exchange program between Spelman College in the southern U.S. city of Atlanta and Nigeria's University of Lagos.
Laurent-Mantey said education exchanges are one of the council's top priorities.
"In Lagos, we had the president of Spelman College — she's also a member of our council — she signed an agreement with the University of Lagos to further education exchange programs in STEM and creative industries between those two universities," Laurent-Mantey said. "And I think for us it's very important, because Spelman College is a historically Black university, and so here we are promoting the importance of collaboration between African Americans and Africans."
In March, the advisory council adopted its first set of recommendations for the U.S. president, including the student exchange initiative, advocating for more U.S. government support for Africa, climate-focused initiatives, and improving U.S. visa access for Africans.
The council met with Nigerian health and foreign affairs officials during the visit before leaving the country on Wednesday.
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At least 5 people were killed and dozens injured in two separate incidents in Bangladesh as violence continued Tuesday on university campuses in the nation's capital and elsewhere over a government jobs quota system, local media reports said quoting officials.
At least three of the dead were students and one was a pedestrian, the media reports said. Another man who died in Dhaka remained unidentified.
The deaths were reported Tuesday after overnight violence at a public university near Bangladesh's capital, Dhaka. The violence involved members of a pro-government student body and other students, when police fired tear gas and charged the protesters with batons during the clashes, which spread at Jahangir Nagar University in Savar, outside Dhaka, according to students and authorities.
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The Bengali-language Prothom Alo daily newspaper reported that one person died in Dhaka and three others, including a pedestrian, were killed after they suffered injuries during violence in Chattogram, a southeastern district, on Tuesday.
Prothom Alo and other media reports also said that a 22-year-old protester died in the northern district of Rangpur.
Details of the casualties could not be confirmed immediately.
While job opportunities have expanded in Bangladesh's private sector, many find government jobs stable and lucrative. Each year, some 3,000 such jobs open up to nearly 400,000 graduates.
Hasina said Tuesday that war veterans — commonly known as "freedom fighters" — should receive the highest respect for their sacrifice in 1971 regardless of their current political ideologies.
"Abandoning the dream of their own life, leaving behind their families, parents and everything, they joined the war with whatever they had," she said during an event at her office in Dhaka.
Protesters gathered in front of the university's official residence of the vice chancellor early Tuesday when violence broke out. Demonstrators accused the Bangladesh Chhatra League, a student wing of Hasina's ruling Awami League party, of attacking their "peaceful protests." According to local media reports, police and the ruling party-backed student wing attacked the protesters.
But Abdullahil Kafi, a senior police official, told the country's leading English-language newspaper Daily Star that they fired tear gas and "blank rounds" as protesters attacked the police. He said up to 15 police officers were injured.
More than 50 people were treated at Enam Medical College Hospital near Jahangir Nagar University as the violence continued for hours, said Ali Bin Solaiman, a medical officer of the hospital. He said at least 30 of them suffered pellet wounds.
On Monday, violence also spread at Dhaka University, the country's leading public university, as clashes gripped the campus in the capital. More than 100 students were injured in the clashes, police said.
On Tuesday, protesters blocked railways and some highways across the country, and in Dhaka, they halted traffic in many areas as they vowed to continue demonstrating until the demands were met.
Local media said police forces were spread across the capital to safeguard the peace.
Swapon, a protester and student at Dhaka University who gave only his first name, said they want the "rational reformation of the quota scheme." He said that after studying for six years, if he can't find a job, "it will cause me and my family to suffer."
Protesters say they are apolitical, but leaders of the ruling parties accused the opposition of using the demonstrations for political gains.
A ruling party-backed student activist, who refused to give his name, told The Associated Press that the protesters with the help of "goons" of the opposition's Bangladesh Nationalist Party and Jamaat-e-Islami party vandalized their rooms at the student dormitories near the Curzon Hall of Dhaka University.
The family-of-the-veterans quota system was halted following a court order after mass student protests in 2018. But last month, Bangladesh's High Court nulled the decision to reinstate the system once more, angering scores of students and triggering protests.
Last week, the Supreme Court suspended the High Court's order for four weeks and the chief justice asked protesting students to return to their classes, saying the court would issue a decision in four weeks.
However, the protests have continued daily, halting traffic in Dhaka.
The quota system also reserves government jobs for women, disabled people and ethnic minority groups, but students have protested against only the veterans system.
Hasina maintained power in an election in January that was again boycotted by the country's main opposition party and its allies due to Hasina's refusal to step down and hand over power to a caretaker government to oversee the election.
Her party favors keeping the quota for the families of the 1971 war heroes after her Awami League party, under the leadership of her father, Sheikh Mujibur Rahman, led the independence war with the help of India. Rahman was assassinated along with most of his family members in a military coup in 1975.
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