Army Public Health Weekly Update, 16 July 2021

Date Published: 7/16/2021
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​The Army Public Health Update is a collection of articles taken from public sources to offer awareness of current health issues and the media coverage given to them. The articles do not necessarily represent U.S. Army Medical Command opinions, views, policy, or guidance, and should not be construed or interpreted as being endorsed by the U.S. Army Medical Command.

The Army Public Health Weekly Update does not analyze the information as to its strategic or tactical impact on the U.S. Army and is not a medical intelligence product. Medical intelligence is available from the National Center for Medical Intelligence External Link .

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Table of Contents

    ​ANNOUNCMENTS 

    2020 Health Of The Force Report

    Through annual reporting of key indicators that impact readiness and Soldier well-being, Health of the Force improves awareness and understanding of the health status of the Army. Results are communicated through an online digital platform and traditional reports. The Health of the Force suite of products gives leaders tools to advance programs and strategies that improve performance and reduce illness and injury. APHC

    The Total Army Medicine Force: Army Medicine Civilian Awards Announced

    13 July- The Total Army Medicine Force is part of what makes the Army, Army Strong. On July 6, 2021, Army Medicine recognized Civilians with awards for each quarter for calendar year 2020 and first quarter of 2021. In addition, Civilian of the Year awards for 2020 were also presented. The awards are given to recognize outstanding dedication and achievement in support of Army Medicine. Richard Beauchemin, Chief of Staff for the Army Medical Command, opened the ceremony and said, "This past year has been one of turbulence, worry, and change. Yet, due to your dedication, resilience, and can-do attitude, Army Medicine performed in an exemplary manner throughout these trying times and remains strong. In fact, stronger today." "I thank each of you and your families for all you do each and every day and for your continued commitment to excellence," he said. Lt. Gen. R. Scott Dingle, Army Surgeon General said, "You are strong every day. When I say Army Medicine is Army Strong, that's me bragging about the best staff in the world—the OTSG OneStaff. We truly are Army Strong because we are Army Medicine, and we are Army Medicine because of each and every one of you. You make us Army strong. I am extremely proud." Army.mil External Link

    U.S. MILITARY

    AJ-Maste Yoga: Tips for a healthy deployment

    13 July- Yoga comes in many forms and fashions. From Ashtanga to Yin, there is a practice that fits almost everyone. Regular yoga practice has been proven by multiple sources to improve strength, balance, flexibility, and back pain. Regular yoga practice can lessen pain from arthritis, may reduce levels of stress and inflammation, and can even help a person get better sleep. Army Maj. Toni Savely, secretary of general staff, Task Force Spartan, 36th Infantry Division has been practicing yoga for approximately 10 years, and needed a solution to continue her yoga journey during a deployment to Camp Arifjan, Kuwait. Savely decided that if Camp Arifjan did not offer classes, she would start a class of her own to maintain her practice and benefit others. "I knew that I needed to continue my practice in order to maintain and improve all the benefits that yoga has consistently provided me," said Savely. The stresses of a deployment can be taxing to the body and mind, whether turning wrenches in a combat zone maintenance shop or sitting at a desk eight to sixteen hours a day as a division staff member. "I believe most people underestimate the importance of yoga and how it can reduce risks for injury, along with many other benefits, said Savely. "A strong core allows the body to function better. So many people sit at a desk or ride in a car for long periods. Doing this can result in weakened muscles that are prone to pain and injury. Army Sgt. 1st Class Wendy Lopez, non-commissioned officer in charge of cyber electromagnetic activities, Task Force Spartan, 36th Infantry Division highly recommends yoga to everyone, even people who have not tried it before as a way to reduce stress. "I highly recommend that everyone give yoga a try, especially here in this kind of environment," said Lopez. "Kuwait is a different kind of stress. Not as stressful as a combat zone but stressful nonetheless." Health.mil External Link

    Guard, Reserve spouses report satisfaction with military life — but that was before 2020

    10 July- Across the National Guard and Reserve components, the majority of military spouses report being satisfied with military life and support their service member staying in the military, according to recently released results of a Defense Department survey. But less than a third of the spouses whose Guard or Reserve member had been deployed in the previous two years reported being satisfied with the military support they received during that deployment, an issue that has held steady since 2014. This is according to results of a 2019 DoD survey just released — fielded two years ago, before the COVID-19 pandemic. That also was before continuous activations over the past year of the National Guard for missions such as helping deal with civil unrest, the pandemic and natural disasters. The year 2020 has been called "the year of the Guard" because it was called on so frequently. National Guard Bureau officials have said guardsmen served for 21 million "personnel days" during 2020. Military Times External Link

    In the future, your uniform will track you

    12 July- In the future, commanders will be able to track the conditions of their soldiers using computers woven into their uniforms. Heart rate, body temperature, even exposure to chemical threats can be recorded and transmitted thousands of miles to back to command. Military Times enterprise reporter Todd South has more on this program being developed in a joint venture between MIT and the Army. Army Times External Link

    Military laser eye surgery: Enhancing vision readiness

    12 July- Maintaining near perfect vision is vital to any warfighter. While many service members wear contact lenses or glasses, other warfighters find glasses or contact lenses incompatible or difficult in austere environments. "Vision impacts so much of what we do in the military, and having problems with glasses or contact lenses, especially in a deployed environment, can cause a host of problems," said Air Force Lt. Col. James Townley, refractive surgery consultant. "Glasses can dislodge, fog or be lost, putting the military member and team at additional risk. Contact lenses are not allowed in deployed conditions due to their propensity for infection. Eliminating the need for distance correction, particularly when service members deploy, avoids these risks." Twenty years ago, the Department of Defense initiated the Warfighter Refractive Eye Surgery Program. The purpose of the program then, and now is to enhance vision on the battlefield, improve readiness, retain or qualify military members in occupations demanding excellent uncorrected vision, and to make headgear and goggles less burdensome. This program was initially designed to provide a combat-vision edge to Navy SEALS, Special Forces and other warfighters through a variety of corrective surgery options. Since its inception in 2001, the research, technology and experience have allowed the program to expand and include all active duty service members, including aviators. Photo refractive keratectomy, or PRK, and laser assisted in situ keratomileusis (LASIK) are available at all 26 military laser centers. This advanced technology enables the correction of most patients with nearsightedness, astigmatism or farsightedness. However, no procedure currently eliminates the need for reading glasses, which occurs because of aging of the eye, usually when a person reaches their mid-40s. Health.mil External Link

    GLOBAL

    CDC says schools should open in fall, recommends masks for unvaccinated

    10 July- The Centers for Disease Control and Prevention (CDC) said Friday that returning to in-person learning in schools this fall is a priority and that masks should be worn indoors by all individuals ages 2 and older who are not fully vaccinated against coronavirus.  The agency also recommended that schools maintain at least 3 feet of physical distance between students within classrooms to reduce transmission risk.  "When it is not possible to maintain a physical distance of at least 3 feet, such as when schools cannot fully re-open while maintaining these distances, it is especially important to layer multiple other prevention strategies, such as indoor masking," the agency advised, adding that students should not be excluded "from in-person learning to keep a minimum distance requirement." The guidance, intended for K-12 schools, also noted that "promoting vaccination" can help facilitate that districts "safely return to in-person learning as well as extracurricular activities and sports." Currently, only the Pfizer-BioNTech vaccine has been authorized for use in kids ages 12 and up. The companies said they plan to request for emergency use authorization in kids ages 5-11 in the fall. Fox News External Link

    FDA warns of potential rare nerve complication with Johnson & Johnson coronavirus vaccine

    12 July- The US Food and Drug Administration updated the label on Johnson & Johnson's coronavirus vaccine Monday to warn of the possible increased risk of a rare neurological complication known as Guillain-Barré syndrome. While the FDA said it had not established the vaccine could cause the syndrome, it noted an increase in reports of the sometimes paralyzing condition. "Today, the FDA is announcing revisions to the vaccine recipient and vaccination provider fact sheets for the Johnson & Johnson (Janssen) COVID-19 Vaccine to include information pertaining to an observed increased risk of Guillain-Barré Syndrome (GBS) following vaccination," it said in a statement sent to CNN. "Reports of adverse events following use of the Janssen COVID-19 Vaccine under emergency use authorization suggest an increased risk of Guillain-Barré syndrome during the 42 days following vaccination," the updated label reads. CNN External Link

    Fully vaccinated Americans do not need COVID-19 booster shots

    13 July- The United States is fortunate to have highly effective vaccines that are widely available for those aged 12 and up, stated the U.S. CDC and FDA in a joint statement regarding COVID-19 vaccine boosters on July 8, 2021. 'People who are fully vaccinated are protected from severe disease and death, including from the variants currently circulating in the country such as Delta. However, people who are not vaccinated remain at risk.' 'Virtually all COVID-19 hospitalizations and deaths are among those who are unvaccinated. Therefore, we encourage Americans who have not yet been vaccinated to get vaccinated as soon as possible to protect themselves and their community.' Therefore, 'Americans who have been fully vaccinated do not need a booster shot at this time.' The FDA, CDC, and the US National Institutes of Health are engaged in a science-based, rigorous process to consider whether or when a booster might be necessary. This process considers laboratory data, clinical trial data, and cohort data – which can include data from specific pharmaceutical companies but does not rely on those data exclusively. 'We continue to review any new data as it becomes available and will keep the public informed. In addition, we are prepared for booster doses if and when the science demonstrates that they are needed,' concluded this statement. Precision Vaccinations External Link

    Health experts keeping an eye on new "Lambda" COVID-19 variant

    12 July- With health experts sending warnings about COVID-19's "Delta" variant, another new variant to the south is already on their radar as well. World Health Officials have signaled the "Lambda" variant as the latest version of the virus, and though it hasn't been categorized it as a "variant of concern" yet, that could change as experts learn more. "Tentatively speaking, it appears the Lambda variant is covered quite nicely by our current vaccines," encourages OhioHealth's Dr. Joseph Gastaldo. COVID-19's super-spreader, Delta variant still remains the dominant strain in the United States, but the newest version of the virus is popping up increasingly around the globe. "With so much infection happening worldwide, it should surprise nobody that we are going to continue to have further evolution of this virus into variants," Dr. Gastaldo warns. According to the World Health Organization, 81% of the COVID-19 cases reported in Peru since April were associated with the Lambda variant. The newest version of the virus taking over fellow South American countries like Argentina, Brazil, Chile, Colombia, and Ecuador as well. "We really don't know yet too much about how the Lambda variant behaves. The Lambda variant is thought to be more transmissible," says Dr. Gastaldo. It's also thought to be more effective at fighting off current therapies used to treat symptomatic COVID-19 patients. NBC External Link

    Most fully vaccinated people who get Covid delta infections are asymptomatic, WHO says

    12 July- People who are fully vaccinated against Covid-19 are still getting infected with the delta variant, but global health officials said the shots have protected most people from getting severely sick or dying. "There are reports coming in that vaccinated populations have cases of infection, particularly with the delta variant," Dr. Soumya Swaminathan, the World Health Organization's chief scientist, said at a press briefing Monday. "The majority of these are mild or asymptomatic infections." However, hospitalizations are rising in some parts of the world, mostly where vaccination rates are low and the highly contagious delta variant is spreading, she said. In the U.S., officials have said virtually all recent Covid hospitalizations and deaths were occurring among unvaccinated people. Breakthrough infections are rare, and about 75% of the people who die or are hospitalized with Covid after vaccination are over the age of 65, according to data from the Centers for Disease Control and Prevention. "The delta variant is ripping around the world at a scorching pace, driving a new spike in cases and death. Not everywhere is taking the same hit, though," WHO Director-General Tedros Adhanom Ghebreyesus said. "We are in the midst of a growing two-track pandemic where the haves and have-nots within and between countries are increasingly divergent in places with high vaccination coverage." The variant is spreading quickly and infecting unprotected and vulnerable people, he said. CNBC External Link

    mRNA Vaccination protects pregnant women

    13 July- During pregnancy, hormonal levels and immune system function may increase women's vulnerability to viral infections, says the U.S. CDC. Although a SARS-CoV-2 coronavirus infection in pregnant women has been reported mostly asymptomatic or mild, it may result in severe complications. In an observational, retrospective cohort study of Israeli pregnant women published in the JAMA on Jul 12, 2021, the BioNTech - Pfizer (Comirnaty, BNT162b2) vaccine was associated with a significantly lower risk of SARS-CoV-2 infection compared with no vaccination. This study' cohort included 7,530 vaccinated and matched unvaccinated women, 46% and 33% in the second and third trimester, respectively, with a mean age of 31.1 years. The median follow-up for the primary outcome was 37 days. These researchers found 118 SARS-CoV-2 infections in the vaccinated group and 202 in the unvaccinated group. Among infected women, (83.8%) were symptomatic in the vaccinated group vs. (83.2%) in the unvaccinated group. Furthermore, during 28 to 70 days of follow-up, there were 10 infections in the vaccinated group and 46 in the unvaccinated group. Precision Vaccinations External Link

    'Surprising amount of death' will soon occur in these US regions from increased Covid-19 cases, expert says

    12 July- As the Delta variant rapidly spreads, US hot spots have seen climbing case numbers -- and an expert warns a "surprising amount of death" from Covid-19 could soon follow. The US is averaging about 19,455 new cases over the last seven days, a 47% increase from the week prior, according to data from Johns Hopkins University. And a third of those, CNN Medical Analyst Dr. Jonathan Reiner said, come from five hot spots: Florida, Louisiana, Arkansas, Missouri and Nevada. "In places like Missouri where ICUs are packed, you're going to see a surprising amount of death," Reiner said on Sunday. At Mercy Hospital in Springfield, Missouri, 91% of ICU patients are on ventilators and many are in their 20s, 30s and 40s, Chief Administrative Officer Erik Frederick told CNN Saturday. That is especially concerning, he said, because at the peak last year there were only 40 to 50% of ICU patients on ventilators. Typically, increases in Covid-19 death rates follow three to four weeks behind spikes in cases, Reiner said. It takes a week for patients to get sick enough to need hospitalization and then often another couple of weeks for the infection to become fatal. CNN External Link

    INFLUENZA

    CDC: Weekly U.S. Influenza Surveillance Report

    2020-2021 Influenza Season for Week 26, ending July 3, 2021:

    Influenza-Associated Hospitalizations- The Influenza Hospitalization Surveillance Network (FluSurv-NET) conducts population-based surveillance for laboratory-confirmed influenza-related hospitalizations in select counties in 14 states and represents approximately 9% of the U.S. population. As in previous seasons, patients admitted for laboratory-confirmed influenza-related hospitalization after April 30, 2021, will not be included in FluSurv-NET. Data on patients admitted through April 30, 2021, will continue to be updated as additional information is received.

    Influenza-Associated Pediatric Mortality- No influenza-associated pediatric deaths were reported to CDC during week 26. CDC External Link

    VETERINARY/FOOD SAFETY

    Norovirus outbreak in UK and Hong Kong linked to oysters

    10 July- People are sick in the United Kingdom and Hong Kong after eating oysters contaminated with norovirus. Reports suggest at least 100 people are ill in the UK with 12 cases in Hong Kong from raw oysters produced by Whitstable Oyster Company in the UK. Specialists from Public Health England (PHE), the Food Standards Agency (FSA) and environmental health teams in Thanet and Canterbury in England are investigating reports of people falling ill with vomiting and diarrhea after eating oysters in late May and early June. "We are supporting PHE and the local authorities' investigations into an outbreak of suspected norovirus and we are reiterating our advice to consumers that they should be aware of the risks of eating raw oysters. Elderly people, pregnant women, very young children and people who have a weakened immune system should avoid eating raw or lightly cooked shellfish to reduce their risk of getting food poisoning," said an FSA statement. The oyster bed and affected batches have been identified, supplied businesses have been informed and testing is ongoing. Food Safety News External Link

    Tyson adds 225 tons of chicken to its existing recall; Listeria illnesses reported

    8 July- Tyson Foods Inc. has added more than 450,000 pounds of chicken products to its existing recall of 8.5 million pounds because additional date codes have been identified. "Details of this recall were updated to reflect additional date codes and an increase in product poundage from approximately 8,492,832 pounds to approximately 8,955,296 pounds. The recalled product names and product codes remain the same. While the product was distributed to schools, it resulted from a commercial sale and was not part of food provided by the USDA for the National School Lunch Program," according to the updated recall notice posted by the USDA's Food Safety and Inspection Service (FSIS). The frozen, fully cooked chicken products were produced between December 26, 2020 and April 13, 2021. The products that are subject to recall are listed here. View the labels here. The products subject to recall bear establishment number "EST. P-7089" on the product bag or inside the USDA mark of inspection. These items were shipped nationwide to retailers and institutions, including hospitals, nursing facilities, restaurants, schools and Department of Defense locations, according to the FSIS recall notice. Food Safety News External Link

    WELLNESS

    Avoid summertime food poisoning with these easy tips

    9 July- Summertime heat and outdoor events can put everyone at increased risk of contracting severe foodborne illness so it's more important than ever to stick to a few key safety guidelines to make sure you and your guests don't get sick. "A simple rule of thumb is: Keep hot foods hot and cold foods cold," said Navy Lt. Cmdr. Melissa Amescua, a registered dietitian and nutrition program manager for the Navy's 21st Century Sailor Office in Millington, Tennessee. "Letting these foods get outside of their allowed temperature ranges will increase the odds for one to get sick," Amescua said. "This range is called the 'danger zone,'" she explained. Other important tips for summer barbeques include using a food thermometer along with tongs and spatulas when you're cooking. Always try to keep ice that cools food separate from ice used for beverages. And, after outdoor summer events: Beware of any leftovers that have been sitting out. "Researchers have found at least 250 types of foodborne illnesses that can make us sick or, even worse, put us in the hospital, and, for all people that fall into a high-risk category, it could even cause death," Amescua said. Amescua said those at higher risk for contracting a foodborne illness include:

    - The elderly

    - Pregnant women

    - Young children, typically under 5 years of age

    - People who are already ill or have an illness that compromises the immune system

    "In the summer months, the very hot temperatures create an environment that makes it easy for bacteria and germs to thrive," Amescua said.

    Food experts point to several key resources to help reduce the risk of food poisoning. Health.mil External Link

    USAFRICOM

    Typhoid vaccine campaign in Zimbabwe

    11 July- The Zimbabwe Ministry of Health and Child Care, with support from the World Health Organization (WHO), Gavi, the vaccine alliance and the United Nations Children's Fund (UNICEF) held a typhoid vaccination campaign May 24 through June 4, vaccinating more than four million children. The campaign has since been extended in a bid to reach a final target of just under six million children. "In the recent past, Zimbabwe has been affected by a number of typhoid outbreaks, with cities like Harare, Bulawayo and Gweru often becoming the epicenters due to chronic poor Water Sanitation and Hygiene (WASH) conditions caused by water shortages," says Zimbabwean Vice President and Minister of Health and Childcare Dr. Constantino Chiwenga. "Against this backdrop, the introduction of typhoid vaccines becomes a critical public health measure." The new campaign has integrated the Typhoid Conjugate Vaccine with the Inactivated Polio Vaccine, and the Human Papillomavirus vaccination. In addition, children aged six to 59 months have received Vitamin A supplementation. Since the end of the initial 10-day campaign, the typhoid vaccine is now being administered routinely to all children at nine months of age to protect them from typhoid fever. Typhoid fever, caused by a bacteria called Salmonella Typhi that is spread through contaminated food and water and poor sanitation, is endemic in parts of Zimbabwe, including Harare. In addition, seasonal outbreaks have been occurring every year since 2010. Outbreak News Today External Link

    USCENTCOM

    Death toll in Iraq COVID hospital fire rises

    13 July- The death toll from a fire that tore through a coronavirus ward at a hospital in southern Iraq has risen to 92, health officials have said, as grieving relatives slammed the government over the second such disaster within three months. Officials said more than 100 people were injured in the blaze at al-Hussein Teaching Hospital on Monday night in Nasiriya, highlighting the crippled healthcare system in the country amid decades of war and sanctions. An investigation showed the fire began when sparks from faulty wiring spread to an oxygen tank that then exploded, police and civil defense authorities said. Prime Minister Mustafa al-Kadhimi convened an emergency meeting and ordered the suspension and arrest of the health director in Dhi Qar province, the hospital director and the city's civil defence chief. The government also launched a time-bound investigation. Al-Kadhimi called the tragedy "a deep wound in the consciousness of all Iraqis". A statement from his office called for national mourning. In a tweet on Tuesday, President Barham Salih blamed the "catastrophe" at the hospital on "persistent corruption and mismanagement that undervalues the lives of Iraqis". A Nasiriya court said it had ordered the arrest of 13 local officials in connection with the fire. Al Jazeera External Link

    USEUCOM

    Syphilis outbreak declared in Ireland

    11 July- Ireland's Health Protection Surveillance Centre (HPSC) report a national outbreak of early infectious syphilis (EIS) has been declared and is under investigation in Ireland since June 2021. Prior to the onset of the COVID-19 pandemic, EIS cases were rising and this had been identified as an area for urgent action. After a small decrease in cases in 2020, coinciding with the first wave of COVID-19, EIS notifications are increasing once more and are exceeding the numbers observed in 2019 and previous years. In 2019, there were 745 confirmed cases of EIS reported, a 54% increase from 2018 (484 cases). The number of notifications significantly decreased in April 2020 (first wave of COVID-19), but following this decrease they increased throughout 2020, with a total of 562 cases reported in 2020. Data for 2021 are incomplete but indicate that EIS notifications are increasing and exceeding those seen in previous years. There have been 242 cases reported between 1st January and 30th April 2021. While the majority of cases continue to be reported in males, there is an increase in female cases and in heterosexual transmission. The majority of cases continued to be reported by HSE East (Dublin, Kildare, Wicklow), 79 percent of cases; followed by HSE South (Cork, Kerry) (9% of cases) and HSE Midwest (Limerick, Clare, Tipperary North) (4% of cases). Outbreak News Today External Link

    USINDOPACOM

    Zika cases rise to 18 in Kerala

    11 July- In a follow-up on the Zika virus infection situation in Kerala state, India, Health Minister Veena George confirmed one additional case on Saturday and three additional cases on Sunday, bringing the Zika virus case total to 18. This included and nearly two year old toddler and 29-year-old hospital worker. Health Minister George said the state was ready to test for Zika virus at Thiruvananthapuram, Thrissur and Kozhikode Medical Colleges, Alappuzha NIV. Zika virus testing facilities will be set up in more labs in the state. Cases outside medical colleges will also be screened in the public health lab and RTPCR in the state. There are 27 government labs that can conduct testing. Minister Veena George said hospitals have been instructed to screen patients who come to hospitals with symptoms of fever, red spots and body aches, especially pregnant women, for the Zika virus. Outbreak News Today External Link

    USNORTHCOM

    U.S.: West Nile virus death reported in San Luis Obispo County

    10 July- The California Department of Public Health (CDPH) announced Friday the first confirmed death in California due to West Nile virus (WNV). The death occurred in San Luis Obispo County. "West Nile virus activity in the state is increasing, so I urge Californians to take every possible precaution to protect against mosquito bites," said Dr. Tomás J. Aragón, Director of the California Department of Public Health and State Public Health Officer. West Nile virus is transmitted to humans and animals by the bite of an infected mosquito. As of July 9, WNV has been detected in 45 dead birds from 6 counties and 177 mosquito samples from 13 counties. Hot temperatures this month are contributing to increasing numbers of mosquitoes and the increased risk of virus transmission to humans. So far this season, activity is within expected levels. The risk of disease due to WNV usually increases at this time of year and is highest throughout the summer and early fall. West Nile virus is influenced by many factors, including climate, the number and types of birds and mosquitoes in an area, and the level of WNV immunity in birds. The risk of serious illness to most people is low. However, some individuals – less than one percent – can develop serious neurologic illnesses such as encephalitis or meningitis. People 50 years of age and older, and individuals with diabetes or hypertension, have a higher chance of getting sick and are more likely to develop complications from WNV infection. Outbreak News Today  External Link

    USSOUTHCOM

    Argentina reports two additional COVID-19 Delta variants in travelers

    10 July- The Ministry of Health of the Nation reports that the ANLIS Malbrán Institute confirmed the isolation of two new cases of the Delta variant in travelers from Barcelona, Spain, and the city of Miami, United States. In this way, the national reference laboratory identified a total of seven cases of Delta variant in travelers since April and has four positive samples derived from Hospital Gutiérrez under investigation for confirmation. The first confirmed case is a 38-year-old traveler, a resident of the City of Buenos Aires, who entered the country on June 28, 2021, from Barcelona with a negative PCR test prior to the flight, and upon arrival in the country. it was positive in the antigen test that is carried out as an admission control. Currently, the passenger -referring to have stayed 25 days in Spain- is doing his isolation in the hotel derived from Ezeiza. It should be noted that the passenger shared a trip with another 39-year-old person -also resident of CABA-, who presented a negative result in the antigen test carried out in Ezeiza on June 28, but began with a fever on July 1 with positive diagnostic test. This is a person who lives alone, does not have close contacts and is fulfilling isolation. According to the epidemiological investigation carried out by the health authorities to the passengers who shared a flight, 5 close contacts were detected (two with domicile in CABA, two in the province of Buenos Aires and one in the province of Santa Fe), of the which 3 show negative PCR on the seventh day uploaded to the national surveillance system. The jurisdictions are conducting the corresponding investigations. As for the second confirmed case, it is a 30-year-old traveler also resident in CABA, who arrived from Miami on June 23. He had a negative pre-flight PCR test and an antigen test performed on arrival in the country, also negative. On June 29, a follow-up PCR test was performed and in that instance it was positive. Outbreak News Today External Link