COVID-19 symptoms at time of testing and association with positivity among outpatients tested for SARS-CoV-2

Introduction Symptoms associated with SARS-CoV-2 infection remain incompletely understood, especially among ambulatory, non-hospitalized individuals. With host factors, symptoms predictive of SARS-CoV-2 could be used to guide testing and intervention strategies. Methods Between March 16 and September 3, 2020, we examined the characteristics and symptoms reported by individuals presenting to a large outpatient testing program in the Southeastern US for nasopharyngeal SARS-CoV-2 RNA RT-PCR testing. Using self-reported symptoms, demographic characteristics, and exposure and travel histories, we identified the variables associated with testing positive using modified Poisson regression. Results Among 20,177 tested individuals, the proportion positive was 9.4% (95% CI, 9.0–9.8) and was higher for men, younger individuals, and racial/ethnic minorities (all P<0.05); the positivity proportion was higher for Hispanics (26.9%; 95% CI. 24.9–29.0) compared to Blacks (8.6%; 95% CI, 7.6–9.7) or Whites (5.8%; 95% CI, 5.4–6.3). Individuals reporting contact with a COVID-19 case had the highest positivity proportion (22.8%; 95% CI, 21.5–24.1). Among the subset of 8,522 symptomatic adults who presented for testing after May 1, when complete symptom assessments were performed, SARS-CoV-2 RNA PCR was detected in 1,116 (13.1%). Of the reported symptoms, loss of taste or smell was most strongly associated with SARS-CoV-2 RNA detection with an adjusted risk ratio of 3.88 (95% CI, 3.46–4.35). The presence of chills, fever, cough, aches, headache, fatigue and nasal congestion also significantly increased the risk of detecting SARS-CoV-2 RNA, while diarrhea or nausea/vomiting, although not uncommon, were significantly more common in those with a negative test result. Symptom combinations were frequent with 67.9% experiencing ≥4 symptoms, including 19.8% with ≥8 symptoms; report of greater than three symptoms increased the risk of SARS-CoV-2 RNA detection. Conclusions In a large outpatient population in the Southeastern US, several symptoms, most notably loss of taste or smell, and greater symptom burden were associated with detection of SARS-CoV-2 RNA. Persons of color and those with who were a contact of a COVID-19 case were also more likely to test positive. These findings suggest that, given limited SARS-CoV-2 testing capacity, symptom presentation and host characteristics can be used to guide testing and intervention prioritization

Road avoidance and its energetic consequences for reptiles

Roads are one of the most widespread human-caused habitat modifications that can increase wildlife mortality rates and alter behavior. Roads can act as barriers with variable permeability to movement and can increase distances wildlife travel to access habitats. Movement is energetically costly, and avoidance of roads could therefore impact an animal's energy budget. We tested whether reptiles avoid roads or road crossings and explored whether the energetic consequences of road avoidance decreased individual fitness. Using telemetry data from Blanding's turtles (Emydoidea blandingii; 11,658 locations of 286 turtles from 15 sites) and eastern massasaugas (Sistrurus catenatus; 1,868 locations of 49 snakes from 3 sites), we compared frequency of observed road crossings and use of road-adjacent habitat by reptiles to expected frequencies based on simulated correlated random walks. Turtles and snakes did not avoid habitats near roads, but both species avoided road crossings. Compared with simulations, turtles made fewer crossings of paved roads with low speed limits and more crossings of paved roads with high speed limits. Snakes made fewer crossings of all road types than expected based on simulated paths. Turtles traveled longer daily distances when their home range contained roads, but the predicted energetic cost was negligible: substantially less than the cost of producing one egg. Snakes with roads in their home range did not travel further per day than snakes without roads in their home range. We found that turtles and snakes avoided crossing roads, but road avoidance is unlikely to impact fitness through energetic expenditures. Therefore, mortality from vehicle strikes remains the most significant impact of roads on reptile populations

Root anchorage and its significance for submerged plants in shallow lakes.

Submerged plants in shallow lakes are subject to pulling forces arising from waves, currents and grazing birds. Such forces can cause anchorage failure (mainly dislodgement of the root system) or breaking failure of the stems. Both lead to loss of fitness but uprooting is more damaging because many perennial species can replace broken shoot systems. We investigated 12 abundant species (Ceratophyllum demersum, Chara sp., Eleogiton fluitans, Elodea canadensis, Myriophyllum spicatum, Najas marina, Potamogeton natans, P. obtusifolius, P. pectinatus, P. pusillus, Utricularia vulgaris and Zannichellia palustris) in 28 shallow lakes in the UK and the Netherlands. We measured the anchorage and breaking strengths of individual plants of different sizes. Anchorage strength depends on the cohesive strength of the sediment and the size of the root system. The undrained shear-strength of sediments in shallow lakes varied more than 50-fold, but all were substantially weaker than terrestrial soils. Anchorage strength was modelled using the product of sediment cohesive strength and four measures of root-system size. A transformation of plan-form area (raising it to the power 2/3) that represented the hemispherical surface area of the root ball was consistently the best predictor of anchorage strength. Breaking strength was a linear function of stem cross-sectional area in all species. Breaking stresses were comparable with those of marine algae and non-lignified terrestrial plants. The results were used, in combination with plant allometric relationships, to predict the fates of four of the species when challenged with the largest waves likely to be encountered in a 10-year period, and the even greater forces exerted by grazing birds. We show that sediment strength and plant size determine whether plants break or uproot. A careful balance between investment in anchorage and in breakage resistance is needed to survive in the fluctuating physical environment of lakes. Pulling forces experienced by aquatic plants are distinct from the mainly bending forces on more rigid land plants. We provide the first theoretical and quantitative framework for understanding their effects. Anchorage failure associated with the soft sediments of eutrophic lakes is likely to be a factor in the loss of macrophyte communities and an important factor in their restoration

Carbon dioxide exchange in leaves of Spartina anglica Hubbard

The gas-exchange method has been used to measure net carbon dioxide assimilation at different temperatures and irradiances in leaves of salt-treated and untreated plants of Spartina anglica. The results together with those of the CO2 compensation point and leaf anatomical data clearly indicate that Spartina anglica is a high photosynthetic capacity plant. At high temperatures and irradiances leaves of the salt-treated plants were able to maintain net photosynthesis, in contrast to the behaviour of leaves of untreated plants. The ecological significance of these results is discussed