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15 Lessons Scientists Learned About Us When the World Stood Still

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15 Lessons Scientists Learned About Us When the World Stood Still

When the pandemic upended our lives, it gave researchers a rare chance to learn more about who we are and how we live. The simultaneous changes endured by the entire world created experiments that could never have happened otherwise. What happens when sports teams play in empty stadiums? When people see their doctors online? When the government sends people money? When women stop wearing high heels? When children stop going to school?

Research was challenging in such an extraordinary period: It’s impossible to know whether changes were caused by the specific thing scientists were studying, or by some other aspect of the pandemic — or whether we could expect the same result in normal times.

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Perhaps one of the most important takeaways from the pandemic was that science is a process. Just as our understandings about masks or vaccines changed as the pandemic went on, these lessons might also change with time. For now, here are 15 things we learned.

1. Flu season doesn’t have to be so bad.

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Flu virtually disappeared during the pandemic. The precautions people took to prevent the spread of Covid also played a role in preventing other respiratory viruses, experts found. Slowing their spread doesn’t necessarily require extreme measures, like stay-at-home orders, the studies showed. Simple behaviors — masking, hand-washing and avoiding social gatherings or workplaces when sick — help keep people healthy. Even those precautions haven’t stuck, though: This year, flu is surging.

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2. Home-field advantage got less mysterious.

When sports teams started playing in empty stadiums, researchers could more rigorously study why players seem to do better at home. A variety of studies found that, yes, the fans made a difference: Home teams played worse without them around. They were less likely to win at home and had poorer performances — and the effect was smaller for teams that had frequently played in front of smaller crowds before the pandemic. But there was also evidence that it wasn’t just about fans. When the N.B.A. restarted play, the top 22 teams isolated in Orlando, Fla., allowing researchers to study the effects of jet lag. Rebounding, shooting accuracy and wins were all higher among players who didn’t have to travel across time zones.

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3. Teenagers need to sleep in, but schools won’t let them.

Most teenagers were sleep-deprived before the pandemic — they don’t naturally tend to feel tired until around 11 p.m. and need around 10 hours of sleep a night. But when schools closed, teenagers around the world started sleeping according to their natural rhythms. They went to bed later (by about two hours, one study found) and slept longer. They woke up naturally, without an alarm or a parent, which doctors say is the sign of sufficient sleep. Teenagers lost these gains when schools reopened at their usual early start times. When high schools start later, other research has shown, it’s associated with improved concentration, behavior, attendance, learning and mental health.

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4. High heels aren’t just uncomfortable — they’re dangerous.

Starting in March 2020, the number of women showing up at emergency rooms with injuries they said were from wearing high heels, like fractures or sprains, declined sharply. In 2020, there were 6,300 hospital visits for high heel injuries, down from 16,000 during each of the four years prior, according to data analyzed by Philip Cohen, a sociologist at the University of Maryland. Now he’s looking into whether injuries have increased since people have begun socializing and working in offices again, or whether the pandemic has hastened the trend toward flats and sneakers.

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5. Patients don’t always need to see a doctor in person, if at all.

Telehealth, once uncommon, accounted for half of medical visits early in the pandemic, found a study of two billion medical claims in the United States. Mostly, patients and doctors were satisfied with seeing one another online. Telehealth lowered health care costs, and was especially useful for treating chronic illnesses and for psychotherapy. And in some cases, the pandemic revealed, people don’t need to see a doctor at all. The number of people showing up with mild appendicitis decreased, while the number with complicated appendicitis didn’t change, which researchers said suggested that some patients who would typically have had surgery recovered on their own.

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6. Women are better patients than men.

During the pandemic, women were more likely than men to wear masks, get vaccinated and follow other public health guidance. This was true in many countries. When men and women lived together, the men were a little more likely to follow health rules, but still less likely than the women. One group of researchers studied professional tennis players at the U.S. Open in 2020. The women were more likely than the men to skip the event because of safety concerns. This aligns with gender differences in health overall, researchers said — women are more likely to seek preventive care, visit doctors and follow health recommendations. It’s probably one reason women tend to live longer.

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7. Not even being stuck at home makes men do more housework.

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During lockdowns, there was a lot more domestic labor to do. More dishes piled up, with more needy children underfoot. But even when men worked from home, women still handled more of the work. Eight in 10 mothers said they managed remote schooling (fathers overestimated their contribution). That could be a reason mothers’ antidepressant use increased when schools were closed, but not fathers’. Mothers were also more likely than men to cut back at work — though they returned as soon as they could. Only couples who really wanted egalitarian relationships, researchers wrote, could overcome “the stickiness of gender inequality in household work.”

8. Alcohol restrictions can save lives.

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Many places had curfews or bans on selling alcohol during lockdowns — and it appeared to have saved lives. In South Africa, hospital admissions to trauma units and deaths declined. In Southern India, traumatic brain injuries decreased. In other parts of the world, however, alcohol use increased significantly — and, along with it, domestic violence and other problems.

9. Office workers don’t need to be chained to their desks.

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Even without in-person meetings, work travel and days spent in cubicles, business continued on. The lesson, said Nick Bloom, a Stanford economist: “Work from home works.” Researchers are still studying how remote work affects productivity, collaboration and creativity. But some version of it seems here to stay: Just over a quarter of paid work days are now worked from home, compared with about 7 percent prepandemic. Remote work has downsides — for innovation, mentorship and service jobs in downtowns. But it also has benefits that workers aren’t eager to give up, like no commutes, more focused work time and making it easier for parents to juggle child care. As a result, it also improves retention.

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10. Computers are no replacement for classrooms.

Five years later, the data is clear: When it came to learning, remote school wasn’t enough. Across the country, in rich and poor districts, and among students of different races, test scores in reading and math fell. Many students still haven’t caught up. There was learning loss even in countries with much shorter school closures than the United States. Other factors hampered students’ learning, including poverty and stress, but the importance of attending school in person is clear: The sooner children returned to classrooms, even part-time, the better they did.

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11. There’s a simple way to bring children out of poverty.

The monthly checks that the U.S. government sent most parents during the pandemic were enormously successful in bringing children out of poverty, a variety of research has found. Families used the money to pay for food, child care, health care and housing. The benefits weren’t just financial — the checks improved parents’ mental health and family well-being. In 2022, when the checks ended, child poverty doubled. The expanded child credit was part of a rapid $5 trillion expansion of the social safety net.

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12. Premature births might be prevented by taking care of moms.

The first reports came from Denmark and Ireland in 2020: The number of babies born premature or at a very low birth weight plummeted early in the pandemic. Soon it became clear that this trend was global: One study estimated that worldwide, 50,000 premature births — a leading cause of infant mortality — had been prevented in just the first month of the pandemic. Researchers aren’t sure exactly why, but a leading theory is that staying home benefited pregnant women — they could rest more, and were exposed to fewer stressors, pollutants and viruses. Perhaps giving pregnant women a break would make them, and their babies, healthier.

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13. Dolphins talk more when people aren’t around.

When humans were less active — what scientists call the anthropause — animals began breeding more and traveling farther. Dolphins whistled longer, birds changed their songs, sea turtles laid more eggs. But the anthropause also revealed the ways in which animals have adapted to people, and humans’ disappearance disturbed delicate balances. In some places, predators or invasive species arrived. Urban wildlife that had become accustomed to coexisting with humans, like crows or raccoons, retreated. It revealed the ways in which humans both threaten and protect the natural world, scientists said.

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14. Trees and plants make people happier.

Unable to spend time in indoor public spaces, people flocked to natural areas when they could, and were better off for it. A study in Hong Kong compared people who lived near urban green spaces with those who didn’t, and found that parks provided physical activity and a refuge. A study in nine countries found that access to nature — even a balcony or garden at home — buffered the stress of lockdowns and improved people’s moods. And a study in Taiwan analyzed the “window/wall ratio” in people’s quarantine rooms and found that more windows, especially if people could see vegetation, made them happier.

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15. There’s no substitute for human contact.

Across the globe, when people didn’t see other people, their mental health — as measured by loneliness, depression and anxiety — got worse. Social media was not a substitute, and often made mental health deteriorate. The pandemic made clear that socializing is particularly important for two age groups, researchers said: young adults and older adults. The older group had better mental health, as well as cardiovascular and cognitive health, when they had structured socializing, like activities at community centers or weekly visits or phone calls.

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Trump Plans to Fire F.D.A. Commissioner Marty Makary

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Trump Plans to Fire F.D.A. Commissioner Marty Makary

President Trump has signed off on a plan to fire Dr. Marty Makary, commissioner of the Food and Drug Administration, after a series of clashes over vaping, oversight of the abortion pill and a series of new drug application denials that rattled biotech companies, according to a person briefed on the matter, who was not authorized to discuss it publicly.

Dr. Makary had a high profile for an F.D.A. commissioner, appearing frequently on television and podcasts to sell the work he was doing at the agency on improving the food supply, speeding up some drug approvals and trying to restore agency morale after thousands of staff members left.

He tried to walk the tightrope between the business-friendly Make America Great Again movement, pledging to get rid of regulations that slow down innovation and to attract more drug trials to the United States. He was an ally of Health Secretary Robert F. Kennedy Jr.’s Make American Healthy Again supporters, voicing the skepticism of the pharmaceutical industry and authorizing natural food dyes.

Ultimately, Dr. Makary’s efforts were not enough to overcome the grievances of a growing band of enemies focused on selling tobacco, opposing abortion and seeing biotech therapies authorized.

Mr. Trump’s decision to dismiss him was first reported by The Wall Street Journal.

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The decision could still change, given Mr. Trump’s propensity to change his mind Dr. Makary has also proven persuasive with Mr. Trump in beating back previous efforts to oust him.

Leaving the White House Friday evening, Mr. Trump dismissed the idea that Dr. Makary would be fired.

“I’ve been reading about it, but I know nothing about it,” he said.

The White House has pressured Dr. Makary for months to authorize flavored e-cigarettes, according to a person close to the conversations. The approvals were a top wish of major tobacco companies that have been top donors to Mr. Trump. In March, the F.D.A. issued a memo saying that it would only authorize e-cigarettes in flavors such as mint, tea and spices. The memo said the fruit and candy flavors would be unlikely to pass muster, given their appeal to young people.

Pressure continued, though, and on Tuesday the F.D.A. authorized blueberry and mango flavored e-cigarettes by Glas, a small company based in Los Angeles.

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Abortion foes including Susan B. Anthony Pro-Life America have continued to turn up the heat on Dr. Makary, reiterating their call for his firing on Thursday. The group’s leaders and others view Dr. Makary as dragging his feet on a safety review of the abortion pill mifepristone, which they viewed as a way to highlight what they believe are dangers of the drug. Former Vice President Mike Pence, who also opposes abortion rights, amplified criticism of Dr. Makary on social media as well.

The administration has been under pressure from conservatives to tighten regulations on the prescribing and dispensing of mifepristone. The Supreme Court is reviewing a federal appeals court ruling that temporarily blocked abortion providers from prescribing the drug through telemedicine and sending it to patients by mail.

Biotech companies and their investors have also raised alarms with the White House about agency decisions to reject a series of treatments for rare diseases. The F.D.A. typically turns down about 20 percent of the applications it receives for drug approvals from companies.

Dr. Makary has been aggressive in defending the decisions, which he said came from career scientists who found the medications ineffective.

Dr. Makary also had to contend with a health secretary who seemed to view the F.D.A. as an avenue for getting his favored products authorized, exemplified by Mr. Kennedy’s social media post saying that the agency would end its “war on” stem cell treatments, peptides and raw milk. Mr. Kennedy pushed the F.D.A. to reverse a 2023 ban and allow the use of a number of peptides, unproven compounds purported to offer anti-aging or muscle-recovery benefits.

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Before leading the F.D.A., Dr. Makary was a cancer surgeon and health policy researcher at Johns Hopkins University School of Medicine. He was also the author of several books about the health care system.

Some of Dr. Makary’s more popular moves included encouraging broader use of hormone replacement products for women and lifting the F.D.A.’s warnings on them. He helped speed some promising drugs to market, including a pancreatic cancer therapy and the pill form of the popular GLP-1 weight loss drugs.

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Californians were aboard hantavirus-stricken cruise ship. Is there a risk to the public?

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Californians were aboard hantavirus-stricken cruise ship. Is there a risk to the public?

Some California residents were among the 147 passengers and staff aboard a luxury cruise ship stricken by a suspected outbreak of hantavirus that has left three people dead and several others severely ill, officials confirmed Thursday.

California public health officials say they are monitoring the situation after being notified by the U.S. Centers for Disease Control and Prevention that some state residents were passengers on the MV Hondius. The precise status of those individuals, however, remains murky.

Hantavirus is a rare but deadly disease that attacks the lungs and is typically contracted by humans through inhalation of particles contaminated with the urine, feces or saliva of a wild rodent.

However, Dr. Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, confirmed Thursday that the Andes virus — a form of hantavirus that can spread from person to person — was involved in the outbreak.

Here’s what we know:

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The MV Hondius cruise ship anchored at a port in Praia, Cape Verde, on Wednesday.

(Misper Apawu / Associated Press)

As its name suggests, the Andes virus is typically found in South America. The Dutch-flagged MV Hondius was on a 46-day journey that traveled from Antarctica with stops in Argentina.

In the case of human-to-human transmission, a person would first be infected by a wild rodent’s contaminated particles and then pass the infection to someone else, said Dr. Gaby Frank, director of the Johns Hopkins Special Pathogens Center.

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“In previous outbreaks of Andes virus, transmission between people has been associated with close and prolonged contact, particularly among household members, intimate partners and people providing medical care,” Ghebreyesus said. “That appears to be the case in the current situation.”

None of the remaining passengers or crew members on the ship are symptomatic, he said.

The ship was not permitted to allow passengers to disembark at its original destination, Cape Verde, and is sailing for Spain’s Canary Islands.

“I want to be unequivocal here: This is not SARS-CoV-2. This is not the start of a COVID pandemic. This is an outbreak that we see on a ship. There’s a confined area,” Dr. Maria Van Kerkhove, who leads the WHO’s epidemic and pandemic management, said at a briefing. “This is not the same situation we were in six years ago. It doesn’t spread the same way like coronaviruses do.”

California passengers on the cruise

On April 1, 114 guests boarded the cruise ship in Ushuaia, Argentina. Twenty-three days later, 30 passengers — including six people from the United States — disembarked on a stop in St. Helena, a remote island about 1,100 miles off the coast of Africa, according to the cruise operator Oceanwide Expeditions.

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Public health agencies in California, Georgia and Arizona were notified by the CDC that some of their residents were among the passengers on the cruise. It’s unclear whether these individuals disembarked on April 24, however.

The CDC is assisting local health authorities with monitoring California residents who were aboard the cruise, according to a statement by the California Department of Public Health on Friday.

As of Friday, one passenger has returned to their California residence and is in contact with local public health officials, and at least one other remains aboard the ship, according to the state agency.

“We understand that news of an unusual outbreak can be concerning,” said Dr. Erica Pan, director of the California Department of Public Health. “Unlike influenza and COVID-19, years of experience in South America have shown that this Andes hantavirus rarely spreads between people.”

Officials said the current public health protocol is to do daily symptom monitoring and reporting.

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“As there are no known cases of Andes hantavirus infection from people without symptoms, and any spread has usually been limited to people with prolonged close contact with an ill person with this virus, the risk to the general public in California is extremely low,” the agency said in a statement.

In a statement earlier this week, the CDC also said that the risk to the American public “is extremely low” at this time.

“We urge all Americans aboard the ship to follow the guidance of health officials as we work to bring you home safely,” the agency said.

The others who exited the ship on April 24 were individuals from Canada, Denmark, Germany, the Netherlands, New Zealand, Switzerland, Sweden, Singapore, St. Kitts and Nevis, Turkey and the United Kingdom.

Of the remaining passengers still aboard the ship headed for Spain’s Canary Islands, California Department of Public Health said none were ill as of Friday.

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How many people have been infected?

The number of lab-confirmed hantavirus cases has risen to five, according to the WHO. There are three additional suspected cases.

A timeline of reported cases of hantavirus aboard the cruise ship can be found here.

The WHO is monitoring reports of other people with symptoms “who may have had contact with one of the passengers. In each case, we are in close contact with the relevant authorities,” Tedros said.

The first passenger to have been infected, a Dutchman, became sick aboard the cruise ship on April 6 and died on April 11.

No samples were taken, because his symptoms were similar to other respiratory diseases. His widow left the ship with his body on April 24 during the scheduled stop at St. Helena.

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“She deteriorated during a flight to Johannesburg on the 25th of April and died the next day,” Tedros said.

Before boarding the cruise ship, the Dutch couple had traveled through Argentina, Chile and Uruguay on a bird-watching trip, “which included visits to sites where the species of rat that is known to carry Andes virus was present,” Tedros said.

After leaving the ship, the woman was briefly aboard a KLM aircraft in Johannesburg bound for Amsterdam but was barred from the flight due to her medical condition, the airline said in a statement.

Dutch news outlets reported that a flight attendant on a KLM airplane — who briefly had contact with the widow — started feeling sick and had mild symptoms and was in isolation at a hospital in Amsterdam.

The flight attendant has since tested negative for the Andes virus, Dr. Jeremy Faust, an emergency medicine physician, wrote on his Substack blog, Inside Medicine, citing a text message sent to him by Tedros.

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“It is still possible that the flight attendant contracted the Andes virus. However, given our understanding of the virus, this information means that the flight attendant’s symptoms are not caused by the Andes hantavirus, but by some other medical illness,” Faust wrote.

More cases may be reported, because the incubation period — the time it takes between exposure to the virus and the onset of illness — for the Andes strain of the hantavirus is up to six weeks.

What we know about hantavirus

There are roughly 50 identified species of hantavirus. The virus that’s found in the Americas tends to cause a cardiopulmonary syndrome, a condition that affects the heart and the lungs, according to Frank.

There have been 890 laboratory-confirmed cases of hantavirus disease reported in the U.S. since surveillance began in 1993, according to the most recent data from the CDC.

From 1980 to 2025, 99 California residents have been diagnosed with a hantavirus infection, according to the California Department of Public Health.

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CDC officials said 38% of people who develop respiratory symptoms may die from the disease.

Still, the data suggest that contracting hantavirus is rare, said Dr. Afif El-Hasan, member of the American Lung Assn.’s national board of directors.

There is no vaccine or specific antiviral medicine for hantavirius.

Intensive-care treatment may include intubation and oxygen therapy, fluid replacement and use of medications to lower blood pressure, according to the American Lung Assn.

The signs of hantavirus

Early symptoms of hantavirus are similar to the flu and include fatigue, fever and muscle aches, according to the CDC. Symptoms start to develop within one to eight weeks after contact with an infected rodent.

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Half of those who contract the virus also experience headaches, dizziness, chills, nausea, vomiting, diarrhea and abdominal pain.

Four to 10 days after the initial phase of the illness, another round of symptoms can develop, which include coughing, shortness of breath and possible tightness in the chest as the lungs fill with fluid.

Even though contracting hantavirus in the U.S. continues to be a rare event, El-Hasan said, people should take these initial symptoms seriously and promptly seek medical care.

How to protect yourself

Hantavirus cases can occur year-round, but the peak seasons in the United States are the spring and summer, which coincide with the reproductive seasons for deer mice.

To lessen your risk of infection, keep wild rodents out of your home and other enclosed spaces by sealing any holes and placing snap traps.

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If you find evidence of mice, wear personal protective equipment and disinfect the area. When you’re done, put everything, including cleaning materials, in a bag and toss it in your trash bin.

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Hantavirus Is Nothing Like Coronavirus, but It’s Bringing Some ‘Covid P.T.S.D.’

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Hantavirus Is Nothing Like Coronavirus, but It’s Bringing Some ‘Covid P.T.S.D.’

Medical workers in protective suits. Contact tracing. P.C.R. tests and World Health Organization briefings.

Just when much of the public had presumed to have left those ominous images and turns of phrase intertwined with the Covid-19 pandemic in the rearview mirror, a deadly hantavirus outbreak aboard a Dutch cruise ship has dredged up familiar anxieties.

Health experts, aware of the scars Covid left on people, including those who are still dealing with it, have sought to dispel comparisons between hantavirus and coronavirus. They said this week that the viruses spread quite differently and were not close in magnitude.

Still, those reassurances have not quelled the public’s anxiety or its appetite for medical advice from some of the same doctors who commanded attention on television as Covid-19 marched across the globe.

“I have Covid P.T.S.D.,” Dr. Celine R. Gounder, editor at large for public health at KFF Health News and an infectious disease expert, said in an interview on Thursday. “There are parts of New York City I cannot walk by without seeing the refrigerated mortuary trucks. I had to get rid of certain things I was using during the pandemic, clothing or otherwise, because it was triggering. So I completely get where people are coming from.”

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“That said,” Dr. Gounder was swift to emphasize, “not all infectious diseases are created equal.”

In Spain, the president of the Canary Islands lodged a protest against allowing the cruise ship to dock there, while a flurry of threads have begun to appear on social media sites pondering whether it was safe to travel at all.

The mention of masks particularly reverberated on the far right politically, where some have begun using the outbreak to warn against the prospect of new restrictions or government mandates.

Three passengers who were traveling on the Dutch cruise ship MV Hondius died during the hantavirus outbreak, which has sickened at least five other people aboard the vessel with symptoms of the rare disease. On Sunday, the ship is expected to approach the island of Tenerife, where passengers will be brought by boats for evacuation flights to their home countries.

Most strains of the virus, which is primarily carried by rodents, cannot be spread from person to person. But the one identified in the ship outbreak, the Andes strain, can move between people, according to medical experts, who underscored that it requires repeated close contact.

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“This is not coronavirus,” Dr. Maria Van Kerkhove, the W.H.O.’s head of epidemic and pandemic preparedness, said at a news conference in Geneva on Thursday. “This is a very different virus.”

Dr. Van Kerkhove said she could understand the intense demand for answers about the cluster of infections.

“I want to be unequivocal here: This is not SARS-CoV-2,” she said, referring to the virus that causes Covid. “This is not the start of a Covid pandemic.”

Around the world, health authorities monitored suspected cases of hantavirus infection. A number of these potential patients tested negative. But the concerns were a reminder of how every allergy season sneeze or wheeze could prompt existential dread in the early months of the Covid pandemic.

In an appearance on the “Today” show on Thursday, Dr. Ashish Jha, who oversaw the Biden administration’s pandemic response as it wound down, said he was confident that public health authorities could contain the spread of the hantavirus if they followed longstanding contact tracing protocols.

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“We’ve got to track down everybody who left the cruise ship and figure out where they are, make sure that we’re monitoring them,” he said. “If they develop any symptoms, then they’ve got to get isolated.”

Such attempts at reassurance may be interpreted differently by some critics of the Trump and Biden administration’s responses to the Covid pandemic.

The far-right commentator Glenn Beck on Thursday signaled the need to resist a return to Covid-era measures on his show.

“They’ll do exactly the same thing they did last time, and then our kids won’t go to school, and we’ll have masks,” Mr. Beck said.

Plenty of others on social media sought to introduce levity in the moment, harking back to quirky rituals and skills they honed during the pandemic.

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“Practicing my dancing for when the hantavirus becomes the new covid,” one young woman wrote in a post.

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