Long COVID and cardiovascular disease: a prospective cohort study

Background Pre-existing cardiovascular disease (CVD) or cardiovascular risk factors have been associated with an increased risk of complications following hospitalisation with COVID-19, but their impact on the rate of recovery following discharge is not known. Objectives To determine whether the rate of patient-perceived recovery following hospitalisation with COVID-19 was affected by the presence of CVD or cardiovascular risk factors. Methods In a multicentre prospective cohort study, patients were recruited following discharge from the hospital with COVID-19 undertaking two comprehensive assessments at 5 months and 12 months. Patients were stratified by the presence of either CVD or cardiovascular risk factors prior to hospitalisation with COVID-19 and compared with controls with neither. Full recovery was determined by the response to a patient-perceived evaluation of full recovery from COVID-19 in the context of physical, physiological and cognitive determinants of health. Results From a total population of 2545 patients (38.8% women), 472 (18.5%) and 1355 (53.2%) had CVD or cardiovascular risk factors, respectively. Compared with controls (n=718), patients with CVD and cardiovascular risk factors were older and more likely to have had severe COVID-19. Full recovery was significantly lower at 12 months in patients with CVD (adjusted OR (aOR) 0.62, 95% CI 0.43 to 0.89) and cardiovascular risk factors (aOR 0.66, 95% CI 0.50 to 0.86). Conclusion Patients with CVD or cardiovascular risk factors had a delayed recovery at 12 months following hospitalisation with COVID-19. Targeted interventions to reduce the impact of COVID-19 in patients with cardiovascular disease remain an unmet need

Assessment of fishing guide knowledge, attitudes, and behaviours in global recreational fisheries

Fishing guides are held in high esteem by recreational fishing clients whom they likely influence (for better or worse) through role-modelling. This, coupled with consensus that angler behaviour is a key determinant of ecological outcomes in the catch-and-release (C&R) process suggests exploring the state of fishing guide knowledge, attitudes and behaviour on trips is critical for effective intervention in the global fish crisis. Fishing guides were recruited for an online survey using collaborator networks and social media (n = 342; 47 countries). The survey assessed the guides’ knowledge of C&R best practices, attitudes towards environmental behaviours, attitudes towards environmental responsibility and their current practices on guided-angling trips. While most fishing guides were deemed “knowledgeable” (69.0%) having answered most (≥4/7) of the best practice questions correctly, many had poor knowledge of key C&R processes such as oesophageal unhooking. Most fishing guides were untrained (64.0%), and only 8.8% had accredited training. Fishing guides generally had positive environmental attitudes towards C&R behaviour (50.9 – 96.2%), suggesting pro-environmental behavioural intentions. Fishing guides deemed “knowledgeable” had significantly more pro-environmental attitudes towards angling behaviours (p = 0.003), which suggests that best practice training may improve their C&R behaviours. Most fishing guides had pro-environmental attitudes towards their environmental responsibilities (87.1 – 89.5%), but these broad attitudes may have little bearing on actual behaviours when faced with a significant trade-off between client satisfaction and ecological integrity. Despite some fishing guides’ good knowledge of appropriate behaviours, positive attitudes towards the environment and towards C&R practices, there is room for improvement to meet sustainability goals for C&R fisheries, which may be facilitated through opportunities for best practice training

Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance - United States, New York City, and Los Angeles, May 5-12, 2020

SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), is thought to be transmitted mainly by person-to-person contact (1). Implementation of nationwide public health orders to limit person-to-person interaction and of guidance on personal protective practices can slow transmission (2,3). Such strategies can include stay-at-home orders, business closures, prohibitions against mass gatherings, use of cloth face coverings, and maintenance of a physical distance between persons (2,3). To assess and understand public attitudes, behaviors, and beliefs related to this guidance and COVID-19, representative panel surveys were conducted among adults aged ≥18 years in New York City (NYC) and Los Angeles, and broadly across the United States during May 5-12, 2020. Most respondents in the three cohorts supported stay-at-home orders and nonessential business closures* (United States, 79.5%; New York City, 86.7%; and Los Angeles, 81.5%), reported always or often wearing cloth face coverings in public areas (United States, 74.1%, New York City, 89.6%; and Los Angeles 89.8%), and believed that their state's restrictions were the right balance or not restrictive enough (United States, 84.3%; New York City, 89.7%; and Los Angeles, 79.7%). Periodic assessments of public attitudes, behaviors, and beliefs can guide evidence-based public health decision-making and related prevention messaging about mitigation strategies needed as the COVID-19 pandemic evolves