Compounding Hazards and Intersecting Vulnerabilities: Experiences and Responses to Extreme Heat During COVID-19

Extreme heat is a major threat to human health worldwide. The COVID-19 pandemic, with its complexity and global reach, created unprecedented challenges for public health and highlighted societal vulnerability to hazardous hot weather. In this study, we used data from a three-wave nationally representative survey of 3036 American adults to examine how the COVID-19 pandemic affected extreme heat vulnerability during the summer of 2020. We used mixed effects models to examine the roles of socio-demographic characteristics and pandemic-related factors in the distribution of negative heat effects and experiences across the United States. The survey findings show that over a quarter of the US population experienced heat-related symptoms during the summer of 2020. Mixed effects models demonstrate that among all socio-economic groups, those who were most vulnerable were women, those in low-income households, unemployed or on furlough, and people who identify as Hispanic or Latino or as other non-white census categories (including Asian, American Indian or Alaska Native, Native Hawaiian or other Pacific Islander, and multi-racial US residents). The study findings indicate that millions of people in the US had difficulty coping with or responding to extreme heat because of the direct and indirect effects of the COVID-19 pandemic. Limited access to cooling as well as COVID-19 related social isolation played a major role in adverse heat health effects. Geographically, the South and the West of the US stood out in terms of self-reported negative heat effects. Overall, the study suggests that the intersection of two health hazards—extreme heat and coronavirus SARS-CoV2—amplified existing systemic vulnerabilities and expanded the demographic range of people vulnerable to heat stress

Tumor necrosis factor-alpha inhibition reduces CXCL-8 levels but fails to prevent fibrin generation and does not improve outcome in a rabbit model of endotoxic shock

The effects of a monoclonal antibody (mAb) to tumor necrosis factor-alpha (TNF-alpha) were examined in a rabbit model of endotoxic shock. Intravenous administration of lipopolysaccharide (100 microg/kg/hr) for 6 hours (n = 11) increased TNF-alpha levels. Fibrinogen was partially consumed, and fibrin deposits were seen in kidney and lungs at 24 hours. Mortality at 24 hours was 64%. Levels of interleukin-8 (aka CXCL-8) were notably increased. Mean arterial pressure (MAP) and leukocyte counts decreased, whereas creatinine levels were enhanced. The anti-TNF-alpha mAb (20 mg/kg i.v. bolus + 5 mg/kg/h i.v. for the first 90 minutes) (n = 10) efficiently inhibited the TNF-activity. Rabbits exhibited lower CXCL-8 levels; MAP improved, the decrease in leukocyte counts was partially prevented and creatinine levels were lower, but fibrinogen, fibrin deposits in kidneys and lungs and mortality, 55%, were similar to the LPS group. Rabbits that did not survive exhibited lower fibrinogen levels, more fibrin in kidneys and lungs and higher CXCL-8 and creatinine levels than survivors, while there were no differences in TNF-alpha, MAP and leukocytes. Thus, the inhibition of TNF-alpha, although beneficial through lowering CXCL-8 levels, is not enough to improve the outcome, which could be partly due to the inability to prevent the fibrin deposits formation in kidneys and lungs

Study of the p p -> p p pi+ pi- Reaction in the Low-Energy Tail of the Roper Resonance

Exclusive measurements of the p p -> p p pi+ pi- reaction have been carried out at Tp = 775 MeV at CELSIUS using the PROMICE/WASA setup. Together with data obtained at lower energy they point to a dominance of the Roper excitation in this process. From the observed interference of its decay routes N* -> N sigma and N* -> Delta pi -> N sigma their energy-dependent relative branching ratio is determined

The unidentified TeV source (TeVJ2032+4130) and surrounding field: Final HEGRA IACT-System results

The unidentified TeV source in Cygnus is now confirmed by follow-up observations from 2002 with the HEGRA stereoscopic system of Cherenkov Telescopes. Using all data (1999 to 2002) we confirm this new source as steady in flux over the four years of data taking, extended with radius 6.2 arcmin (+-1.2 arcmin (stat) +-0.9 arcmin (sys)) and exhibiting a hard spectrum with photon index -1.9. It is located in the direction of the dense OB stellar association, Cygnus OB2. Its integral flux above energies E>1 TeV amounts to \~5% of the Crab assuming a Gaussian profile for the intrinsic source morphology. There is no obvious counterpart at radio, optical nor X-ray energies, leaving TeVJ2032+4130 presently unidentified. Observational parameters of this source are updated here and some astrophysical discussion is provided. Also included are upper limits for a number of other interesting sources in the FoV, including the famous microquasar Cygnus X-3.Comment: 7 pages, 3 figures. Accepted for publication in Astronomy & Astrophysic

Observation of strong final-state effects in pi+ production in pp collisions at 400 MeV

Differential cross sections of the reactions $pp \to d\pi^+$ and $pp \to pn\pi^+$ have been measured at $T_p = 400$ MeV by detecting the charged ejectiles in the angular range $4^0 \leq \Theta_{Lab} \leq 21^\circ$. The deduced total cross sections agree well with those published previously for neighbouring energies. The invariant mass spectra are observed to be strongly affected by $\Delta$ production and $NN$ final-state interaction. The data are well described by Monte Carlo simulations including both these effects. The ratio of $pp \to pn\pi^+$ and $pp \to d\pi^+$ cross sections also compares favourably to a recent theoretical prediction which suggests a dominance of $np$-production in the relative $^3S_1$-state.Comment: 17 pages, 5 figure

Higher Partial Waves in p+p->p+p+eta near Threshold

Exclusive measurements of the production of eta mesons in the p+p->p+p+eta reaction have been carried out at excess energies of 16 and 37 MeV above threshold. The deviations from phase space are dominated by the proton-proton final state interaction and this influences particularly the energy distribution of the eta meson. However, evidence is also presented at the higher energy for the existence of an anisotropy in the angular distributions of the eta meson and also of the final proton-proton pair, probably to be associated with D-waves in this system interfering with the dominant S-wave term. The sign of the eta angular anisotropy suggests that rho-exchange is important for this reaction.Comment: 16 pages, LaTeX2e, 3 EPS Figures, Updated version, Accepted for publication in Phys. Lett.