First Covid-19 Vaccine code-named mRNA-1273 Shot Given

At a news conference, President Donald Trump praised how quickly the research had progressed. Fauci noted that 65 days have passed since Chinese scientists shared the virus’ genetic sequence. He said he believed that was a record for developing a vaccine to test.

Seattle: This vaccine candidate, code-named mRNA-1273, was developed by the NIH and Massachusetts-based biotechnology company Moderna Inc. There’s no chance participants could get infected because the shots do not contain the coronavirus itself.

It’s not the only potential vaccine in the pipeline. Dozens of research groups around the world are racing to create a vaccine against COVID-19. Another candidate, made by Inovio Pharmaceuticals, is expected to begin its own safety study next month in the U.S., China and South Korea.

The Seattle experiment got underway days after the World Health Organization declared the new virus outbreak a pandemic because of its rapid global spread, which has infected more than 169,000 people and killed more than 6,500. AP reporter(s) witnessed the first human trial on Monday.

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Other medical procedures are underway in hundreds of forms to combat the Covid-19 outbreak.

A very old drug developed by a scientist in 1934 for Bayer discovered chloroquine for malaria. It was widely used during World War ll and has been extensively used for SARS with excellent results. Its history goes back to Peru (South America), where the indigenous people extracted the bark of the Cinchona trees and used the extract (Chinchona officinalis) to fight chills and fever in the seventeenth century. In 1633 this herbal medicine was introduced in Europe, where it was given the same use and also began to be used against malaria.

We report on chloroquine, a 4-amino-quinoline, as an effective inhibitor of the replication of the severe acute respiratory syndrome coronavirus (SARS-CoV) in vitro. Chloroquine is a clinically approved drug effective against malaria.

It was reported a few weeks ago that officials in China were not cooperating with other nations at the outset of Covid-19. That is only partially true. The U.S. has collaborated with scientists and medical experts in China since SARS and continues to do so with very positive results.

Data from the drug’s studies showed ‘certain curative effect’ with ‘fairly good efficacy’.

According to Sun, patients treated with chloroquine demonstrated a better drop in fever, improvement of lung CT images, and required a shorter time to recover compared to parallel groups.

The percentage of patients with negative viral nucleic acid tests was also higher with the anti-malarial drug.

Chloroquine has so far showed no obvious serious adverse reactions in the more than 100 participants in the trials.

The China National Center for Biotechnology Development head Zhang Xinmin said that chloroquine is one of the three drugs that have a promising profile against the new coronavirus, reported China Daily.

The remaining two drugs are anti-flu medicine favipiravir and Gilead’s investigational anti-viral candidate remdesivir.

Favipiravir is currently in a 70-patient trial in Shenzhen, Guangdong province, while remdesivir is under evaluation at more than ten medical institutions in Wuhan.

In trials conducted in China, chloroquine appears to be useful for coronavirus disease 2019. Another form is Hydroxychloroquine.

Hydroxychloroquine Sulfate (Watson Laboratories, Inc ...

Hydroxychloroquine is also presecribed for HIV, arthritis as well as advanced malaria and strains of coronavirus. It is a disease-modifying anti-rheumatic drug (DMARD).It regulates the activity of the immune system, which may be overactive in some conditions.

A small 40 cents, that is $.40 a dose to make and is generally sold for $5.00 per dose.

 

China Says Immoral of US Officials to Blame China for Virus

FNC: If you listened to Chinese state-run media, you’d think President Trump went to China and released vials of COVID-19 on groups of unsuspecting men, women and children.

Beijing has been bending over backward trying to convince the world that the United States is the real culprit behind the quickly spreading virus that’s already claimed more than 4,600 lives across the globe.

It’s a high-stakes strategy for the Asian nation fighting to keep its superpower status amid a national lockdown and palpable anger over claims that Wuhan, China, the epicenter of the coronavirus, at first covered it up, triggering a worldwide health and economic crisis.

The Chinese government has already published a book in English — with translations in the works in French, Spanish, Russian and Arabic — touting its handling of the deadly disease.

A Battle Against Epidemic: China Combatting COVID-19 in 2020” is a mishmash of glowing state media reports on the accomplishments of President Xi Jinping, the Communist Party and the dominance of the Chinese system in fighting the crisis.

biosafety-level-IV (P4) opened in 2017 in Wuhan

At best, China’s aggressive new campaign can be chalked up to ambitious propaganda.  At its worst, it’s a reckless display from a country that has actively misled the world while working overtime to save its own skin, foreign affairs expert Gordon G. Chang told Fox News.

Chang believes Beijing has been laying the groundwork for a PR attack against the United States for more than a month, first by throwing doubt on the origin of COVID-19 and second, by slamming America’s handling of previous diseases like the swine flu, which decimated China’s pork industry.

On Sunday, Lin Songtian, China’s ambassador to South Africa, said: “Although the epidemic first broke out in China, it did not necessarily mean that the virus is originated from China, let alone ‘made in China.’

 

Vague and misleading statements like the one from Lin are ripped right out of China’s propaganda playbook and attempt to sow doubt about the global crisis.

Chinese officials have also pushed back on the expression “Wuhan coronavirus” — saying the name used frequently by U.S. conservative commentators unfairly stigmatizes the world’s most populous country.

Chang said it’s just another tactic in China’s playbook, carefully choreographed to make Americans look petty and racist.

“This an all-out assault on the United States,” Chang said.

In December, when the coronavirus was first detected in Wuhan, many media around the world began referring to it as the “Wuhan virus.” But last month, the World Health Organization renamed the illness COVID-19 so as not to link it to a specific location or group of people.

The name change didn’t stop some, like Secretary of State Mike Pompeo, who blew past warnings and deliberately referred to it as the “Wuhan virus” after China’s foreign ministry called it “highly irresponsible” to do so.

President Donald Trump’s national security adviser, Robert O’Brien, went even further Wednesday.

“Unfortunately, rather than using best practices, this outbreak in Wuhan was covered up,” O’Brien said at the Heritage Foundation, a conservative-leaning think tank in Washington. “There’s lots of open-source reporting from China, from Chinese nationals, that the doctors involved were either silenced or put in isolation, or that sort of thing, so that the word of this virus could not get out. It probably cost the world community two months.”

O’Brien said if experts would have had those two months to get ahead of the spread of the virus, “I think we could have dramatically curtailed what happened both in China and what’s now happening across the world.”

Sen. Marco Rubio, R-Fla., said the Communist Party is pointing the finger at the U.S. so it can dampen discontent back home.

“The Chinese military portal Xilu.com recently published an article baselessly claiming that the virus is ‘a biochemical weapon produced by the U.S. to target China,’” Rubio said.

Arkansas Republican Sen. Tom Cotton, has frequently used the term “Wuhan virus” on the Senate floor.

Earlier this week, several social media users took House Minority Leader Kevin McCarthy, R-Calif., to task when he referred to it as “the Chinese coronavirus.”

Instead of backing down, Chang believes officials should keep calling COVID-19 the “Wuhan virus” and push back on accusations of racism.

“This isn’t a Republican thing. We all need to unite and for people to say, ‘this is racist’ is irresponsible,” Chang said. “There is no race known as Wuhanese.”

Chang also said calling COVID-19 the “Wuhan virus” or “Chinese coronavirus” keeps pressure on the Chinese government and forces it to be held accountable by the rest of the world for its initial response to the global crisis, which was widely regarded as abysmal.

China, though, is using everything in its arsenal to paint itself as a global hero, rewriting history and going so far as to demand a thank you for containing the virus as long as it did.

“We should say righteously that the U.S. owes China an apology, the world owes China a thank you,” an editorial on state news agency Xinhua read.

Also peculiar is that Beijing — which is normally quick to censor news — has refused to step in as a wave of anti-American conspiracy theories flood the internet. Among the rumors is that the U.S. created the coronavirus to make China look bad as well as one that accuses the government of covering up thousands of deaths by classifying them as the regular flu.

“It’s more than just some disinformation or an official narrative,” Xiao Qiang, an adjunct professor at the University of California at Berkeley’s Schools of Information, told The Washington Post. “It’s an orchestrated, all-out campaign by the Chinese government through every channel at a level you rarely see. It’s a counteroffensive.”

Govt Report on Prevention of Nationwide Cyber Catastrophe

A good first step for sure, however there needs to be a government-wide decision on cyber attacks being an act of war and how to respond.

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The Cyberspace Solarium Commission’s proposes a strategy of layered cyber deterrence. Our report consists of over 80 recommendations to implement the strategy. These recommendations are organized into 6 pillars:
  1. Reform the U.S. Government’s Structure and Organization for Cyberspace.
  2. Strengthen Norms and Non-Military Tools.
  3. Promote National Resilience.
  4. Reshape the Cyber Ecosystem.
  5. Operationalize Cybersecurity Collaboration with the Private Sector.
  6. Preserve and Employ the Military Instrument of National Power.

Click here to download the full report.

A much-anticipated government report aimed at defending the nation against cyber threats in the years to come opens with a bleak preview of what could happen if critical systems were brought down.

“The water in the Potomac still has that red tint from where the treatment plants upstream were hacked, their automated systems tricked into flushing out the wrong mix of chemicals,” the Cyberspace Solarium Commission wrote in the opening lines of its report.

“By comparison, the water in the Lincoln Memorial Reflecting Pool has a purple glint to it. They’ve pumped out the floodwaters that covered Washington’s low-lying areas after the region’s reservoirs were hit in a cascade of sensor hacks,” it continues.

So begins the report two years in the making from a congressionally mandated commission made up of lawmakers and top Trump administration officials, pointing to the vulnerabilities involved with critical systems being hooked up to the internet.

The report, which includes more than 75 recommendations for how to prevent the cyber doomsday it spells out, and the commission that made it were both mandated by the 2019 National Defense Authorization Act (NDAA).

The commissioners, who include co-chairmen Sen. Angus King (I-Maine) and Rep. Mike Gallagher (R-Wis.), highlight a range of issues to address, but zero in on election security as “priority.”

“The American people still do not have the assurance that our election systems are secure from foreign manipulation,” King and Gallagher wrote in the report. “If we don’t get election security right, deterrence will fail and future generations will look back with longing and regret on the once powerful American Republic and wonder how we screwed the whole thing up.”

The focus on shoring up election security, and the agreed-upon recommendations for how to do this, sets the report apart from the approach to the subject on Capitol Hill, where it has been a major issue of contention between Republicans and Democrats since Russian interference in the 2016 presidential election.

Beyond election security, the commissioners call for overarching government reform to address cyber vulnerabilities. Chief among these is calling on the White House to issue an updated national strategy to address cyber threats and to establish a national cybersecurity director position to coordinate efforts.

In terms of congressional action, commissioners recommend that Congress create cybersecurity committees in both the House and Senate, establish a Bureau of Cybersecurity Statistics, and establish an assistant secretary position at the State Department to lead international efforts around cybersecurity.

“While cyberspace has transformed the American economy and society, the government has not kept up,” commissioners wrote in calling for reforms.

The commission also zeroed in on “imposing costs” to adversaries who attempt to attack the U.S. online. In order to do so, it recommended that the Department of Defense conduct vulnerability assessments of its weapons systems, including nuclear control systems, and that it make cybersecurity preparedness a necessity.

The Cybersecurity and Infrastructure Security Agency, the Department of Homeland Security’s cyber agency, would be empowered as the “lead agency” at the federal level.

The report’s recommendations were debated on and pinpointed by a group of high-ranking commissioners who also included FBI Director Christopher Wray, Deputy Secretary of Defense David Norquist, Transportation Security Administration Administrator David Pekoske, Sen. Ben Sasse (R-Neb.), and Rep. James Langevin (D-R.I.).

Langevin said in a statement on Wednesday that the report is intended to shore up the nation’s cyber “resiliency for years to come.”

“Our charge in drafting this report was to prevent a cyber event of significant national consequence, and we know that the short- and long-term recommendations we crafted will better position us to realize the promise of the Internet, while avoiding its perils,” Langevin said. “The sooner our recommendations are implemented, the better positioned the country will be to prevent and respond to incidents that can disrupt the American way of life.”

The report’s recommendations may soon have real-world consequences on Capitol Hill.

Rep. John Katko (R-N.Y.), the ranking member on the House Homeland Security Committee’s cyber panel, told The Hill this week that there “definitely will be some legislation” stemming from the report’s recommendations, and that hearings would likely be held.

Katko noted that he had talked with Senate Homeland Security Committee Chairman Ron Johnson (R-Wis.) about the Senate also taking action around the report.

“This report screams of the need for bipartisan action on this, and I hope that we can leave the politics out of it, and I hope we can attack these problems quickly and effectively,” Katko said.

Rep. Cedric Richmond (D-La.), the cyber subcommittee’s chairman, opened a hearing on Wednesday by praising the report’s recommendations and saying he looked forward to working to “codifying” the ideas alongside House Homeland Security Committee Chairman Bennie Thompson (D-Miss.).

Industry groups also reacted positively to the report’s recommendations. Tom Gann, the chief public policy officer of cybersecurity firm McAfee, told The Hill in a statement that he agreed with most of the report’s findings and hoped that they are “acted upon with speed.”

Protect Our Power, a nonprofit with the goal of protecting the electric grid, also praised the report.

“These are compelling recommendations, echoing issues we have highlighted for several years now, and action is long overdue,” Jim Cunningham, executive director of the group, said in a statement. “Without a reliable supply of electricity before, during and following a disabling cyberattack, none of our critical infrastructure can function.”

While there may be legislative action soon – and praise from industry groups – both Gallagher and King emphasized in the report that their main aim was for it to open the eyes of Americans to the dangers posed by cyberattacks on critical systems.

“The status quo is inviting attacks on America every second of every day,” the co-chairmen wrote. “We all want that to stop. So please do us, and your fellow Americans, a favor. Read this report and then demand that your government and the private sector act with speed and agility to secure our cyber future.”

Democrats Refuse Legal Protection for Medical Mask Makers

*** What Senator Cotton referred to is 3M company being granted the government contract to manufacture the N9 masks and 3M wants protection from litigious lawyers for all kinds of reasons and the House Democrats refused siding with nasty lawyers. There is building bi-partisan movement to protect the manufacturers….meanwhile…about that $8.3 billion….

Kentucky Sen. Rand Paul wants to funnel the $8.3 billion that will be spent to combat the coronavirus out of the money spent on foreign aid.

After passing through both chambers of Congress, President Trump signed legislation that makes $8.3 billion in emergency funding available to combat the coronavirus outbreak. Paul, who was the only senator to vote against the spending package, views the funding as necessary to address the spreading illness, but he did not want to take out the taxpayers’ checkbook without saving money elsewhere.

“I support the money,” Paul told WDRB. “I just think we should take it from somewhere else in the budget where it’s not being used wisely. So I had an amendment that would have said the $8 billion should come from foreign welfare that we send to foreign countries in the form of foreign aid. I think really we ought to concentrate on our country.”

He added, “I think really we ought to concentrate on our country, instead of borrowing more money from China. The virus came from there. Now we’re borrowing from China to spend on it. Why don’t we take it from the money we’re actually sending overseas and spend that money here?”

As Paul noted, the coronavirus outbreak has been traced back to Wuhan, China. Since the outbreak began late last year, more than 116,000 people have been infected worldwide, and more than 4,000 have died. In the United States, 27 people have died, and more than 750 have been infected.

Paul voted against the emergency funding last week, citing how the package did not include spending cuts to counter the money spent on fighting the coronavirus. He argued that even more money could have been allocated to stop the disease, but that he could not support a funding package that did not have an adjacent spending cut.

“I think we could allocate more money, but we should pay for it,” Paul said. “If you don’t follow through and you say, well, we should pay for it, but I’ll vote for it anyway, then that just gives them license to do it again and again and again. And that’s what happens.”

The U.S. spent nearly $40 billion on foreign aid in 2019, which was less than 1% of the federal budget. In 2017, China received more than $53 million in foreign aid from the U.S. The countries receiving the most foreign aid from the U.S. are Afghanistan, Iraq, and Israel.

Taiwan More Advanced than U.S. to Deal with Coronavirus

Taiwan, while in a contentious government power struggle with China, the country has a very conservative approach on economic stability and encourages entrepreneurial strengths.

(Reuters) – China is pressuring Taiwan with “provocative” air force maneuvers near the island and spreading fake news to sow discord during the coronavirus outbreak, security sources and government officials in Taiwan say.

This sets the table for why Taiwan’s master plan to thrive during the coronavirus outbreak.

Angry Taiwan blames China for UN aviation meet snub | The ...

You can be assured corporate leaders in the United States are taking notice and are hosting some top level meetings regarding research and development across the country during this anxious time in America and across the world.

Taiwan records its first coronavirus death as global toll ...

Read on for some interesting actions Taiwan has taken given how interacted the country is with China.

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Taiwan is 81 miles off the coast of mainland China and was expected to have the second highest number of cases of coronavirus disease 2019 (COVID-19) due to its proximity to and number of flights between China.1 The country has 23 million citizens of which 850 000 reside in and 404 000 work in China.2,3 In 2019, 2.71 million visitors from the mainland traveled to Taiwan.4 As such, Taiwan has been on constant alert and ready to act on epidemics arising from China ever since the severe acute respiratory syndrome (SARS) epidemic in 2003. Given the continual spread of COVID-19 around the world, understanding the action items that were implemented quickly in Taiwan and assessing the effectiveness of these actions in preventing a large-scale epidemic may be instructive for other countries.

COVID-19 occurred just before the Lunar New Year during which time millions of Chinese and Taiwanese were expected to travel for the holidays. Taiwan quickly mobilized and instituted specific approaches for case identification, containment, and resource allocation to protect the public health. Taiwan leveraged its national health insurance database and integrated it with its immigration and customs database to begin the creation of big data for analytics; it generated real-time alerts during a clinical visit based on travel history and clinical symptoms to aid case identification. It also used new technology, including QR code scanning and online reporting of travel history and health symptoms to classify travelers’ infectious risks based on flight origin and travel history in the past 14 days. Persons with low risk (no travel to level 3 alert areas) were sent a health declaration border pass via SMS (short message service) messaging to their phones for faster immigration clearance; those with higher risk (recent travel to level 3 alert areas) were quarantined at home and tracked through their mobile phone to ensure that they remained at home during the incubation period.

Moreover, Taiwan enhanced COVID-19 case finding by proactively seeking out patients with severe respiratory symptoms (based on information from the National Health Insurance [NHI] database) who had tested negative for influenza and retested them for COVID-19; 1 was found of 113 cases. The toll-free number 1922 served as a hotline for citizens to report suspicious symptoms or cases in themselves or others; as the disease progressed, this hotline has reached full capacity, so each major city was asked to create its own hotline as an alternative. It is not known how often this hotline has been used. The government addressed the issue of disease stigma and compassion for those affected by providing food, frequent health checks, and encouragement for those under quarantine. This rapid response included hundreds of action items (eTable in the Supplement).

Recognizing the Crisis

In 2004, the year after the SARS outbreak, the Taiwan government established the National Health Command Center (NHCC). The NHCC is part of a disaster management center that focuses on large-outbreak response and acts as the operational command point for direct communications among central, regional, and local authorities. The NHCC unified a central command system that includes the Central Epidemic Command Center (CECC), the Biological Pathogen Disaster Command Center, the Counter-Bioterrorism Command Center, and the Central Medical Emergency Operations Center.5

On December 31, 2019, when the World Health Organization was notified of pneumonia of unknown cause in Wuhan, China, Taiwanese officials began to board planes and assess passengers on direct flights from Wuhan for fever and pneumonia symptoms before passengers could deplane. As early as January 5, 2020, notification was expanded to include any individual who had traveled to Wuhan in the past 14 days and had a fever or symptoms of upper respiratory tract infection at the point of entry; suspected cases were screened for 26 viruses including SARS and Middle East respiratory syndrome (MERS). Passengers displaying symptoms of fever and coughing were quarantined at home and assessed whether medical attention at a hospital was necessary. On January 20, while sporadic cases were reported from China, the Taiwan Centers for Disease Control (CDC) officially activated the CECC for severe special infectious pneumonia under NHCC, with the minister of health and welfare as the designated commander. The CECC coordinated efforts by various ministries, including the ministries of transportation, economics, labor, and education and the Environmental Protection Administration, among others, in a comprehensive effort to counteract the emerging public health crisis.

Managing the Crisis

For the past 5 weeks (January 20-February 24), the CECC has rapidly produced and implemented a list of at least 124 action items (eTable in the Supplement) including border control from the air and sea, case identification (using new data and technology), quarantine of suspicious cases, proactive case finding, resource allocation (assessing and managing capacity), reassurance and education of the public while fighting misinformation, negotiation with other countries and regions, formulation of policies toward schools and childcare, and relief to businesses.

Border Control, Case Identification, and Containment

On January 27, the National Health Insurance Administration (NHIA) and the National Immigration Agency integrated patients’ past 14-day travel history with their NHI identification card data from the NHIA; this was accomplished in 1 day. Taiwan citizens’ household registration system and the foreigners’ entry card allowed the government to track individuals at high risk because of recent travel history in affected areas. Those identified as high risk (under home quarantine) were monitored electronically through their mobile phones. On January 30, the NHIA database was expanded to cover the past 14-day travel history for patients from China, Hong Kong, and Macau. On February 14, the Entry Quarantine System was launched, so travelers can complete the health declaration form by scanning a QR code that leads to an online form, either prior to departure from or upon arrival at a Taiwan airport. A mobile health declaration pass was then sent via SMS to phones using a local telecom operator, which allowed for faster immigration clearance for those with minimal risk. This system was created within a 72-hour period. On February 18, the government announced that all hospitals, clinics, and pharmacies in Taiwan would have access to patients’ travel histories.

Resource Allocation: Logistics and Operations

The CECC took an active role in resource allocation, including setting the price of masks and using government funds and military personnel to increase mask production. On January 20, the Taiwan CDC announced that the government had under its control a stockpile of 44 million surgical masks, 1.9 million N95 masks, and 1100 negative-pressure isolation rooms.

Communications and Politics
Reassure and Educate the Public, While Fighting Misinformation

In addition to daily press briefings by the minister of health and welfare the CECC, the vice president of Taiwan, a prominent epidemiologist, gave regular public service announcements broadcast from the office of the president and made available via the internet. These announcements included when and where to wear a mask, the importance of handwashing, and the danger of hoarding masks to prevent them from becoming unavailable to frontline health workers. The CECC also made plans to assist schools, businesses, and furloughed workers (eTable in the Supplement).

Taiwan’s Outcomes so Far (as of February 24)
Interim Outcomes

The CECC has communicated to the public in a clear and compassionate manner. Based on a poll of 1079 randomly selected people conducted by the Taiwan Public Opinion Foundation on February 17 and 18, the minister of health and welfare received approval ratings of more than 80% for his handling of the crisis, and the president and the premier received an overall approval rating of close to 70%. As of February 24, Taiwan has 30 cases of COVID-19. These cases represent the 10th-highest case number among countries affected thus far, but far fewer than the initial models predicting that Taiwan would have the second-highest importation risk.

Challenges

First, real-time public communications were mostly in Mandarin Chinese and sign language. Other than the Taiwan CDC website, there was not enough communication in different languages to non-Taiwanese citizens traveling or residing in Taiwan. Second, while its attention was focused on air travel, Taiwan permitted the docking of the Diamond Princess cruise ship and allowed passengers to disembark in Keelung, near New Taipei City, on January 31, before the ship left for Japan. The ship was subsequently found to have numerous confirmed infections onboard. This created a temporary public panic with concern about community spread. The government published the 50 locations where the cruise ship travelers may have visited and asked citizens who may have been in contact with the tour group to conduct symptom monitoring and self-quarantine if necessary. None were confirmed to have COVID-19 after 14 days had passed. Third, whether the intensive nature of these policies can be maintained until the end of the epidemic and continue to be well received by the public is unclear.

Conclusions

Taiwan’s government learned from its 2003 SARS experience and established a public health response mechanism for enabling rapid actions for the next crisis. Well-trained and experienced teams of officials were quick to recognize the crisis and activated emergency management structures to address the emerging outbreak.

In a crisis, governments often make difficult decisions under uncertainty and time constraints. These decisions must be both culturally appropriate and sensitive to the population. Through early recognition of the crisis, daily briefings to the public, and simple health messaging, the government was able to reassure the public by delivering timely, accurate, and transparent information regarding the evolving epidemic. Taiwan is an example of how a society can respond quickly to a crisis and protect the interests of its citizens.

Article Information

Corresponding Author: C. Jason Wang, MD, PhD, Stanford University, 117 Encina Commons, CHP/PCOR, Stanford, CA 94305 ([email protected]).

Published Online: March 3, 2020. doi:10.1001/jama.2020.3151

Conflict of Interest Disclosures: None reported.

References and footnotes found here in detail.