November 19, 2020

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VOLUME 139, ISSUE 7 | THURSDAY, NOVEMBER 19, 2020

UC DAVIS HEALTH OPEN REGION’S FIRST POST-COVID-19 CLINIC The clinic seeks to provide care to patients dealing with lasting post-COVID-19 symptoms

KATHERINE FRANKS / AGGIE

BY HANNAH BLOME AND SIMRAN KALKAT campus@theaggie.org UC Davis Health has launched a PostCOVID-19 Clinic to provide care and treatment for patients who survived COVID-19 but are still facing symptoms. The reasons for the postCOVID-19 symptoms are currently unclear, but

they could last for months. “The clinic is very new and our first patients are just now starting the referral and assessment processes,” said Karen Finney, the senior public information officer for UC Davis Health Office of Public Affairs, via email. “However, we consider it a great success. It is one of the first clinics in the nation to provide a place where those who survived COVID-19 yet still have ongoing symptoms can

go for consultations.” The clinic was formed out of a concern for patients who had continued to experience problems like respiratory issues, heart and vascular problems, exercise endurance and headaches. Mark Avdalovic, an associate professor of pulmonary and critical care medicine and director of the Post-COVID-19 Clinic, noticed that there were patients who had otherwise recovered from COVID-19 but still faced ongoing symptoms. “We established the clinic to better understand those symptoms and find out if they could be related to the virus or perhaps even to the initial treatment for the virus,” Avdalovic said, via email. “UC Davis’ extensive network of specialists provides opportunities for us to expand evaluation and care teams as needed, depending on a patient’s specific symptom profile.” Undergoing COVID-19 symptoms after recovering from the virus can be a difficult experience for patients. Avdalovic describes how these symptoms can be confusing as well as mentally and physically taxing on COVID-19 patients. “It’s frustrating and frightening for them,” Avdalovic said in a press release. “With this clinic, we can provide a much-needed service to our patients and our community. There are many who are still suffering a wide array of symptoms despite being many weeks out from their initial infection, and they don’t know why. They deserve to have these symptoms evaluated in a systematic fashion.” The symptoms themselves have been very diverse, ranging from a dry cough and shortness of breath to muscle and joint aches. “Those symptoms can be mild or very interruptive of daily life,” Avdalovic said, via email. “The commonality is that these patients do not feel as healthy as they did prior to COVID-19

infection.” These patients who have recovered from the novel coronavirus test negative but still endure prolonged symptoms. A team of British scientists estimate that about 10% of people who had COVID-19 are still experiencing symptoms after testing negative. The COVID-19 “long-hauler” patients did not necessarily face serious illness while testing positive. In fact, Avdalovic noted that a recent study shows that some of the patients without symptoms during the acute infection were later experiencing inflammation in the lungs and heart. Because COVID-19 is a respiratory illness, the clinic is based in pulmonary medicine. The novel coronavirus can have long-term impacts on airways, lung capacity and ability to conduct other respiratory functions. The “long-hauler” patients with ongoing symptoms are also likely to be experiencing respiratory issues. The clinic will be using telemedicine to provide consultations for COVID-19 patients as well as patients with other lung conditions such as asthma, chronic obstructive pulmonary disease, cystic fibrosis or pulmonary fibrosis. The clinic is for patients who have tested positive, had symptoms at least 30 days ago and are concerned about health issues that didn’t exist before the virus or aren’t yet fully recovered and back to normal health. “Students who tested positive for COVID-19 at least 30 days ago and still have symptoms are welcome to be seen in the clinic,” Finney said. “With their permission, outcomes of their clinical assessments may be included in future studies. They should call 1-800-482-3284 to initiate a referral.”

UNIVERSITY ENCOURAGES STUDENTS TO SELF-REGULATE AMID PANDEMIC UC Davis police are not enforcing COVID-19 guidelines, and OSSJA is taking a ‘graduated response’ to reports of violations

UC Davis Police Department. (Quinn Spooner / Aggie) BY KATHLEEN QUINN campus@theaggie.org As fears of a widespread outbreak on campus have decreased, the UC Davis Police Department has taken an educational approach to disperse gatherings during the pandemic, and the Office of

Student Support and Judicial Affairs (OSSJA) has avoided affecting students’ standing for first-time offenders. UC Davis Police Chief Joe Farrow’s approach to gatherings on the campus has been less about enforcement and more about encouraging positive behaviors.

YOLO COUNTY PREPARES FOR FLU SEASON AMID COVID-19 CONCERNS

“We always thought that we should kind of be advisors, the educational arm of things,” Farrow said. “So we bought a bunch of masks, hand sanitizers, all that sort of thing.” According to an email response from the OSSJA Director Don Dudley, the university responds to all reports of gatherings that violate the university guidelines, and they are taking a graduated approach in providing discipline. “Most first-time incidents result in a disciplinary outcome that does not affect a student’s standing,” Dudley said via email. UC Davis currently allows for gatherings of up to 16 people with social distancing outdoors and not between more than three households, according to the campus ready webpage. Annie Andrews, a third-year philosophy and psychology double major, said she was the host of a game night off-campus that ended up having more people than originally intended, around 30. She said she had planned to only have a couple of people over. “That turned into a lot bigger than we thought, like a lot more people showed up,” Andrews said. According to Farrow, the Davis Police Department deals with any complaints of violations to state and county guidelines for students off campus. After multiple requests for comment, Davis Police Chief Darren Pytel did not respond. The total self-reported positive cases since March have been 117. Still, Andrews said she wasn’t concerned about the spread of COVID-19 from the gathering, and she said most people there were wearing their masks, except when drinking. “Most of the people who showed up were

from student housing, so they’ve been tested before,” Andrews said. “We didn’t hear anything about people being sick when they showed up or left, so it wasn’t too much of a worry for us.” According to the UC Davis COVID-19 Dashboard, there have been three asymptomatic cases between Nov. 1 and Nov. 7. At the beginning of the pandemic, Farrow said the UC Davis police department received a lot of calls, but that has gone down considerably since the rules took effect. “I think people realized it’s not necessarily a police call, it’s not really something that the police deal with,” Farrow said. “So our calls have gone way down for us; In fact, we very seldom receive a call.” Farrow said he was encouraged by the way students on campus acted during Halloween. He had originally prepared himself for more calls. “I think Halloween was a good example of a lot of people at this university taking things seriously,” Farrow said. “I think they tried really hard to socialdistance, while at the same time enjoy themselves in some aspect.” Students who violate campus ready guidelines will be required to get tested for COVID-19 weekly for four weeks at the ARC. “I feel safe going to campus because I know it’s an institution,” Andrews said. “They have to keep their students safe, so they are going to put up decent regulations.” For Farrow, he said it’s important to not grow too comfortable and let standards slip. “I think what we are all trying to guard against is complacency,” Farrow said.

KAITLYN PANG / AGGIE

Health officials stress flu vaccine importance to lessen strain on public health services during ongoing pandemic BY YAN YAN HUSTIS HAYES city@theaggie.org As the flu season draws nearer and COVID-19 cases rise, Yolo County prepares for the uncertainty of the combined influenza and COVID-19 outbreaks. Yolo County Public Information Officer Jenny Tan explained that in preparation for the coming flu season, the city of Davis is trying to keep residents healthy. “Being healthy means getting your flu shot, not smoking, eating a good diet and drinking water,” Tan said. “We are telling [residents] that they need to be in good, healthy shape so that [they] don’t get the flu or COVID.” In addition to encouraging healthy habits and offering free COVID-19 testing, Yolo County is also providing residents with more flu clinics. “We are actually providing a lot more flu clinics this year than we did the previous years,” Tan said. “Most of them are drive-throughs, so people don’t even need to get out of their car, which is also new this year. We have trained a ton of new volunteers to help us with the management of some of these larger clinics.” The best place to look for information on

free services and health guidelines is on the Yolo County Health and Human Services website, Tan said. According to the Centers for Disease Control’s weekly Morbidity and Mortality Report, for the week of Sept. 18, there was a decline in influenza virus circulation in the U.S., Australia, Chile and South Africa. “The global decline in influenza virus circulation appears to be real and concurrent with the COVID-19 pandemic and its associated community mitigation measures,” the report reads. “If extensive community mitigation measures continue throughout the fall, influenza activity in the United States might remain low and the season might be blunted or delayed.” Brad Pollock, associate dean and chair for Public Health Services and professor at the UC Davis School of Medicine, explained that this is the best-case scenario for the upcoming flu season. “If you look at the seasonal disease over in Australia and New Zealand, they had the lightest influenza season ever,” Pollock said. “I’m hoping we see the same thing here.” While a light flu season is possible, Pollock stressed the seriousness of the influenza virus due in part to its unpredictability. “Trying to predict [influenza season] is like

trying to predict the stock market,” Pollock said. “The problem is that the symptoms for influenza overlap a huge amount with COVID-19, and we are really stressed in our capacity to deliver health care in the pandemic era right now.” Pollock explained that, while COVID-19 is around five to six times the fatality rate of influenza, a severe case in either has the potential to turn fatal. “Influenza kills people—if you’ve got influenza as your base, it’s not great,” Pollock said. “If we don’t do all we can to curb the influenza epidemic that would overlay the COVID-19 epidemic, we’re going to really overwhelm the health systems.” In addition to the potential stress a severe flu season could put on our health systems, part of the difficulty in combating the simultaneous spread of both the seasonal flu and COVID-19 is

that the symptoms are very similar. This presents difficulties for contact tracing and health care professionals’ ability to prescribe proper and effective treatment, Pollock explained. “You might give them the same advice, which is just to self-quarantine, but it makes it more complicated to do everything,” Pollock said. “And of course, what if you actually end up with both viruses at the same time?” For these reasons, it’s important to get vaccinated so that the flu is not a major problem this year, according to Pollock. “What people sometimes fail to realize is if you’re vaccinated, even if you get influenza, the case fatality rate is very, very low—much lower than if you weren’t vaccinated,” Pollock said. CITYFLU on 11


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