Last year the artificial intelligence group DeepMind cracked a mystery that has flummoxed scientists for decades: stripping bare the structure of proteins, the building blocks of life. Now, having amassed a database of nearly all human protein structures, the company is making the resource available online free for researchers to use. From a report: The key to understanding our basic biological machinery is its architecture. The chains of amino acids that comprise proteins twist and turn to make the most confounding of 3D shapes. It is this elaborate form that explains protein function; from enzymes that are crucial to metabolism to antibodies that fight infectious attacks. Despite years of onerous and expensive lab work that began in the 1950s, scientists have only decoded the structure of a fraction of human proteins.

DeepMind's AI program, AlphaFold, has predicted the structure of nearly all 20,000 proteins expressed by humans. In an independent benchmark test that compared predictions to known structures, the system was able to predict the shape of a protein to a good standard 95% of time. DeepMind, which has partnered with the European Molecular Biology Laboratory's European Bioinformatics Institute (EMBL-EBI), hopes the database will help researchers to analyse how life works at an atomic scale by unpacking the apparatus that drives some diseases, make strides in the field of personalised medicine, create more nutritious crops and develop "green enzymes" that can break down plastic.

"The efficacy of a drug being promoted by rightwing figures worldwide for treating Covid-19 is in serious doubt," reports the Guardian, "after a major study suggesting the treatment is effective against the virus was withdrawn due to 'ethical concerns'." The preprint study on the efficacy and safety of ivermectin — a drug used against parasites such as worms and headlice — in treating Covid-19, led by Dr Ahmed Elgazzar from Benha University in Egypt, was published on the Research Square website in November. It claimed to be a randomised control trial, a type of study crucial in medicine because it is considered to provide the most reliable evidence on the effectiveness of interventions due to the minimal risk of confounding factors influencing the results...

A medical student in London, Jack Lawrence, was among the first to identify serious concerns about the paper, leading to the retraction... He found the introduction section of the paper appeared to have been almost entirely plagiarised. It appeared that the authors had run entire paragraphs from press releases and websites about ivermectin and Covid-19 through a thesaurus to change key words. "Humorously, this led to them changing 'severe acute respiratory syndrome' to 'extreme intense respiratory syndrome' on one occasion," Lawrence said.

The data also looked suspicious to Lawrence... "In their paper, the authors claim that four out of 100 patients died in their standard treatment group for mild and moderate Covid-19," Lawrence said. "According to the original data, the number was 0, the same as the ivermectin treatment group. In their ivermectin treatment group for severe Covid-19, the authors claim two patients died, but the number in their raw data is four..." Lawrence contacted an Australian chronic disease epidemiologist from the University of Wollongong, Gideon Meyerowitz-Katz, and a data analyst affiliated with Linnaeus University in Sweden who reviews scientific papers for errors, Nick Brown, for help analysing the data and study results more thoroughly... "The main error is that at least 79 of the patient records are obvious clones of other records," Brown told the Guardian. "It's certainly the hardest to explain away as innocent error, especially since the clones aren't even pure copies. There are signs that they have tried to change one or two fields to make them look more natural..."

Meyerowitz-Katz told the Guardian that "this is one of the biggest ivermectin studies out there", and it appeared to him the data was "just totally faked".
Meta-analyses incorporating the "just totally faked" data were then published in Oxford Academic's Open Forum Infectious Diseases and in the American Journal of Therapeutics.

Meanwhile, the Guardian also notes a new (and peer-reviewed) paper that was just published last month in the journal Clinical Infectious Diseases. Its finding? Iermectin is "not a viable option to treat COVID-19 patients".

sciencehabit shares a report from Science Magazine: A man unable to speak after a stroke has produced sentences through a system that reads electrical signals from speech production areas of his brain, researchers report this week. The approach has previously been used in non-disabled volunteers to reconstruct spoken or imagined sentences, but this is the first demonstration of its potential in the type of patient it's intended to help. The participant had a stroke more than 10 years ago that left him with anarthria -- an inability to control the muscles involved in speech. Researchers used a computational model known as a deep-learning algorithm to interpret patterns of brain activity in the sensorimotor cortex, a brain region involved in producing speech, and 'decoded' sentences he attempted to read aloud.

In the new study, [the researchers] temporarily removed a portion of the participant's skull and laid a thin sheet of electrodes smaller than a credit card directly over his sensorimotor cortex. To "train" a computer algorithm to associate brain activity patterns with the onset of speech and with particular words, the team needed reliable information about what the man intended to say and when. So the researchers repeatedly presented one of 50 words on a screen and asked the man to attempt to say it on cue. Once the algorithm was trained with data from the individual word task, the man tried to read sentences built from the same set of 50 words, such as "Bring my glasses, please." To improve the algorithm's guesses, the researchers added a processing component called a natural language model, which uses common word sequences to predict the likely next word in a sentence. With that approach, the system only got about 25% of the words in a sentence wrong, they report today in The New England Journal of Medicine. With the new approach, the man could produce sentences at a rate of up to 18 words per minute.

The University of Oxford this week started vaccinations of a novel HIV vaccine candidate as part of a Phase I clinical trial in the UK. From a report: The goal of the trial, known as HIV-CORE 0052, is to evaluate the safety, tolerability, and immunogenicity of the HIVconsvX vaccine -- a mosaic vaccine targeting a broad range of HIV-1 variants, making it potentially applicable for HIV strains in any geographical region. Thirteen healthy, HIV-negative adults, aged 18-65 and who are considered not to be at high risk of infection, will initially receive one dose of the vaccine followed by a further booster dose at four weeks. The trial is part of the European Aids Vaccine Initiative (EAVI2020), an internationally collaborative research project funded by the European Commission under Horizon 2020 health programme for research and innovation.

Professor Tomas Hanke, Professor of Vaccine Immunology at the Jenner Institute, University of Oxford, and lead researcher on the trial, said: 'An effective HIV vaccine has been elusive for 40 years. This trial is the first in a series of evaluations of this novel vaccine strategy in both HIV-negative individuals for prevention and in people living with HIV for cure.' While most HIV vaccine candidates work by inducing antibodies generated by B-cells, HIVconsvX induces the immune system's potent, pathogen obliterating T cells, targeting them to highly conserved and therefore vulnerable regions of HIV -- an "Achilles heel" common to most HIV variants.

Most people in the poorest countries will need to wait another two years before they are vaccinated against COVID-19, researchers have told Nature. From a report: Around 11 billion doses are needed to fully vaccinate 70% of the world's population against COVID-19. As of 4 July, 3.2 billion doses had been administered. At the current vaccination rate, this will increase to around six billion doses by the end of the year, researchers from the International Monetary Fund, based in Washington DC, project. But so far, more than 80% of the doses have gone to people in high-income and upper-middle-income countries. Only 1% of people in low-income countries have been given at least one dose, according to the website Our World in Data.

Last month, the leaders of the G7 group of wealthy nations pledged extra doses for low- and middle-income countries (LMICs) by the end of 2022, at a summit in Cornwall, UK. The centrepiece was a promise from US President Joe Biden to donate 500 million doses of the vaccine made by pharmaceutical company Pfizer of New York City and biotechnology company BioNTech in Mainz, Germany. This is in addition to 87.5 million previously pledged. The United Kingdom pledged 100 million, and France, Germany and Japan have pledged around 30 million each.

The highly contagious Delta variant is on the rise, and countries that hoped they had seen the worst of Covid-19 are being battered again. From a report: The nightmare is returning. In Indonesia, grave diggers are working into the night, as oxygen and vaccines are in short supply. In Europe, countries are slamming their doors shut once again, with quarantines and travel bans. In Bangladesh, urban garment workers fleeing an impending lockdown are almost assuredly seeding another coronavirus surge in their impoverished home villages. And in countries like South Korea and Israel that seemed to have largely vanquished the virus, new clusters of disease have proliferated. Chinese health officials announced on Monday that they would build a giant quarantine center with up to 5,000 rooms to hold international travelers. Australia has ordered millions to stay at home.

A year and a half since it began racing across the globe with exponential efficiency, the pandemic is on the rise again in vast stretches of the world, driven largely by the new variants, particularly the highly contagious Delta variant first identified in India. From Africa to Asia, countries are suffering from record Covid-19 caseloads and deaths, even as wealthier nations with high vaccination rates have let their guard down, dispensing with mask mandates and reveling in life edging back toward normalcy. Scientists believe the Delta variant may be twice as transmissible as the original coronavirus, and its potential to infect some partially vaccinated people has alarmed public health officials.

A mix-and-match approach to Covid vaccines -- using different brands of jab for first and second doses -- gives good protection against the pandemic virus, a UK study has found. From a report: The Com-Cov trial looked at the efficacy of either two doses of Pfizer, two of AstraZeneca, or one of them followed by the other. All combinations worked well, priming the immune system. This knowledge could offer flexibility for vaccine rollout, say experts. The trial results also hint that people who have already received two doses of AstraZeneca vaccine could have a stronger immune response if they were given a different jab as a booster if recommended in the autumn. The UK's deputy chief medical officer, Prof Jonathan Van-Tam, said there was no reason to change the current successful same dose vaccine schedules in the UK, however, given vaccines were in good supply and saving lives. But he says it might be something to look at in the future: "Mixing doses could provide us with even greater flexibility for a booster programme, while also supporting countries who have further to go with their vaccine rollouts, and who may be experiencing supply difficulties."

University of Oxford scientists are trialing giving Ivermectin to people with Covid symptoms to see if it can keep them out of hospital. The BBC reports: The Principle study will compare those given the drug to patients receiving the usual NHS care. The drug has become controversial after being promoted for use across Latin America and in South Africa, despite being so far unproven. Previous studies of Ivermectin have generally been small or low quality. Most commonly used to treat parasitic infections such as river blindness, spread by flies, Ivermectin has also been shown to kill viruses in petri dishes in the lab -- although, at much higher doses than would usually be prescribed to people.

Dr Aurora Baluja, an anaesthesiologist and critical care doctor, said Ivermectin was often being given in parts of the world where there are high incidences of parasitic infections. Covid patients who are also fighting a parasitic disease at the same time would be likely to fare worse and that might explains some of its seemingly positive effect. Though there have been some early "promising" results from small and observational studies, Principle joint chief investigator Prof Richard Hobbs said it would be "premature" to recommend Ivermectin for Covid. [...] The Oxford team said they had selected Ivermectin to be included in the trial because it was "readily available globally" and known to be relatively safe (although, like most things, it can be toxic at very high doses). People aged 18-64 with an underlying health condition or experiencing breathlessness, and anyone aged 65 or over, can sign up to the Principle study within 14 days of having Covid symptoms or receiving a positive test. "All in all, though, the most compelling reports of ivermectin's effects seem to come from the smallest and least controlled samples (all the way down to anecdotal results) while the larger and more well-controlled trials tend to produce equivocal evidence at best," writes Derek Lowe, a medical chemist working in the pharmaceutical industry. "My current opinion is pretty much exactly that of the WHO guidance: I do not think that the current evidence is strong enough to say that ivermectin is a useful therapy for coronavirus patients. I know that there are quite a few studies out there in the literature, but they suffer from various combinations of small sample size, poor trial design, not enough data reported, and (in many cases) inconclusive statistics."

Should people on their deathbeds be allowed to try anything to save themselves? Should the entire world be allowed to practice self-care on a grand scale? These are some of the questions American author, journalist, and podcaster Matt Taibbi poses in an article via Substack. He argues that ivermectin "has become hostage to a larger global fight between populists and anti-populists."

UPDATE (2/18/2021): CNN reports "The antiparasitic drug ivermectin doesn't prevent severe disease from Covid-19 any more effectively than symptom management and close observation by medical professionals, according to a study published Friday in the journal JAMA Internal Medicine." In fact, slightly more patients in the ivermectin group went on to need extra oxygen compared with those who took a placebo, though the difference was not statistically significant.... [T]hey also looked at whether patients needed to be hospitalized, had to go on a ventilator, needed intensive care or died from their infections. There was no meaningful difference in outcomes between the group that took ivermectin and those who got the placebo treatment.

It was a randomized-controlled trial, the gold standard of medical research, in which researchers test an intervention against a placebo....

In addition to the fact that ivermectin didn't work, people who took it had more side effects than those who didn't, and sometimes those side effects were severe, including heart attacks, anemia and diarrhea that led to shock.

A simple blood test that can detect more than 50 types of cancer before any clinical signs or symptoms of the disease emerge in a person is accurate enough to be rolled out as a screening test, according to scientists. The Guardian reports: The test, which is also being piloted by NHS England in the autumn, is aimed at people at higher risk of the disease including patients aged 50 or older. It is able to identify many types of the disease that are difficult to diagnose in the early stages such as head and neck, ovarian, pancreatic, esophageal and some blood cancers. Scientists said their findings, published in the journal Annals of Oncology, show that the test accurately detects cancer often before any signs or symptoms appear, while having a very low false positive rate.

The test, developed by US-based company Grail, looks for chemical changes in fragments of genetic code "cell-free DNA (cfDNA)" that leak from tumors into the bloodstream. The Guardian first reported on the test last year and how it had been developed using a machine learning algorithm a type of artificial intelligence. It works by examining the DNA that is shed by tumors and found circulating in the blood. More specifically, it focuses on chemical changes to this DNA, known as methylation patterns. Now the latest study has revealed the test has an impressively high level of accuracy. Scientists analyzed the performance of the test in 2,823 people with the disease and 1,254 people without. It correctly identified when cancer was present in 51.5% of cases, across all stages of the disease, and wrongly detected cancer in only 0.5% of cases.

In solid tumors that do not have any screening options "such as esophageal, liver and pancreatic cancers" the ability to generate a positive test result was twice as high (65.6%) as that for solid tumors that do have screening options such as breast, bowel, cervical and prostate cancers. Meanwhile, the overall ability to generate a positive test result in cancers of the blood, such as lymphoma and myeloma, was 55.1%. The test correctly also identified the tissue in which the cancer was located in the body in 88.7% of cases.

The coronavirus vaccines made by Pfizer-BioNTech and Moderna may have caused heart problems in more than 1,200 Americans, including about 500 who were younger than age 30, according to data reported on Wednesday by researchers at the Centers for Disease Control and Prevention. Still, the benefits of immunization greatly outweighed the risks, and advisers to the C.D.C. strongly recommended vaccination for all Americans 12 and older. The New York Times: The heart problems reported are myocarditis, an inflammation of the heart muscle; and pericarditis, inflammation of the lining around the heart. The risk is higher after the second dose of an mRNA vaccine than after the first, the researchers reported, and much higher in men than in women. But overall, the side effect is very uncommon -- just 12.6 cases per million second doses administered. The researchers estimated that out of a million second doses given to boys ages 12 to 17, the vaccines might cause a maximum of 70 myocarditis cases, but would prevent 5,700 infections, 215 hospitalizations and two deaths. Agency researchers presented the data to members of the Advisory Committee on Immunization Practices, which makes recommendations on vaccine use in the United States. (The scientists grouped pericarditis with myocarditis for reporting purposes.) Most cases were mild, with symptoms like fatigue, chest pain and disturbances in heart rhythm that quickly cleared up, the researchers said. Of the 484 cases reported in Americans under age 30, the C.D.C. has definitively linked 323 cases to vaccination. The rest remain under investigation.

UPDATE (7/30): All the missing virus sequences have now been published, with their deletion being explained as just "an editorial oversight by a scientific journal," according to the New York Times.

In Slashdot's original report, an anonymous reader quoted another report from The New York Times: About a year ago, genetic sequences from more than 200 virus samples from early cases of Covid-19 in Wuhan disappeared from an online scientific database. Now, by rooting through files stored on Google Cloud, a researcher in Seattle reports that he has recovered 13 of those original sequences -- intriguing new information for discerning when and how the virus may have spilled over from a bat or another animal into humans. The new analysis, released on Tuesday, bolsters earlier suggestions that a variety of coronaviruses may have been circulating in Wuhan before the initial outbreaks linked to animal and seafood markets in December 2019. As the Biden administration investigates the contested origins of the virus, known as SARS-CoV-2, the study neither strengthens nor discounts the hypothesis that the pathogen leaked out of a famous Wuhan lab. But it does raise questions about why original sequences were deleted, and suggests that there may be more revelations to recover from the far corners of the internet.
UPDATE (6/25): The Washington Post notes the data wasn't exactly suppressed. "Processed forms of the same data were included in a preprint paper from Chinese scientists posted in March 2020 and, after peer review, published that June in the journal Small." And in addition: The NIH released a statement Wednesday saying that a researcher who originally published the genetic sequences asked for them to be removed from the NIH database so that they could be included in a different database. The agency said it is standard practice to remove data if requested to do so...

Bloom's paper acknowledges that there are benign reasons why researchers might want to delete data from a public database. The data cited by Bloom are not alone in being removed by the NIH during the pandemic. The agency, in response to an inquiry from The Post, said the National Library of Medicine has so far identified eight instances since the start of the pandemic when researchers had withdrawn submissions to the library.

"This one from China and the rest from submitters predominantly in the U.S.," the NIH said in its response. "All of those followed standard operating procedures."
The New York Times writes: The genetic sequences of viral samples hold crucial clues about how SARS-CoV-2 shifted to our species from another animal, most likely a bat. Most precious of all are sequences from early in the pandemic, because they take scientists closer to the original spillover event. As [Jesse Bloom, a virologist at the Fred Hutchinson Cancer Research Center who wrote the new report] was reviewing what genetic data had been published by various research groups, he came across a March 2020 study with a spreadsheet that included information on 241 genetic sequences collected by scientists at Wuhan University. The spreadsheet indicated that the scientists had uploaded the sequences to an online database called the Sequence Read Archive, managed by the U.S. government's National Library of Medicine. But when Dr. Bloom looked for the Wuhan sequences in the database earlier this month, his only result was "no item found." Puzzled, he went back to the spreadsheet for any further clues. It indicated that the 241 sequences had been collected by a scientist named Aisi Fu at Renmin Hospital in Wuhan. Searching medical literature, Dr. Bloom eventually found another study posted online in March 2020 by Dr. Fu and colleagues, describing a new experimental test for SARS-CoV-2. The Chinese scientists published it in a scientific journal three months later. In that study, the scientists wrote that they had looked at 45 samples from nasal swabs taken "from outpatients with suspected Covid-19 early in the epidemic." They then searched for a portion of SARS-CoV-2's genetic material in the swabs. The researchers did not publish the actual sequences of the genes they fished out of the samples. Instead, they only published some mutations in the viruses.

But a number of clues indicated to Dr. Bloom that the samples were the source of the 241 missing sequences. The papers included no explanation as to why the sequences had been uploaded to the Sequence Read Archive, only to disappear later. Perusing the archive, Dr. Bloom figured out that many of the sequences were stored as files on Google Cloud. Each sequence was contained in a file in the cloud, and the names of the files all shared the same basic format, he reported. Dr. Bloom swapped in the code for a missing sequence from Wuhan. Suddenly, he had the sequence. All told, he managed to recover 13 sequences from the cloud this way. With this new data, Dr. Bloom looked back once more at the early stages of the pandemic. He combined the 13 sequences with other published sequences of early coronaviruses, hoping to make progress on building the family tree of SARS-CoV-2. Working out all the steps by which SARS-CoV-2 evolved from a bat virus has been a challenge because scientists still have a limited number of samples to study. Some of the earliest samples come from the Huanan Seafood Wholesale Market in Wuhan, where an outbreak occurred in December 2019. But those market viruses actually have three extra mutations that are missing from SARS-CoV-2 samples collected weeks later. In other words, those later viruses look more like coronaviruses found in bats, supporting the idea that there was some early lineage of the virus that did not pass through the seafood market. Dr. Bloom found that the deleted sequences he recovered from the cloud also lack those extra mutations. "They're three steps more similar to the bat coronaviruses than the viruses from the Huanan fish market," Dr. Bloom said. This suggests, he said, that by the time SARS-CoV-2 reached the market, it had been circulating for awhile in Wuhan or beyond. The market viruses, he argued, aren't representative of full diversity of coronaviruses already loose in late 2019.
UPDATE (7/30): When republishing their sequences, the researchers indicated they actually came from January 30, 2020 (and not "late 2019").

Artificial intelligence is to be used to tackle the most deadly parasitic diseases in the developing world, tech company DeepMind has announced. The BBC reports: The London-based Alphabet-owned lab will work with the Drugs for Neglected Diseases initiative (DNDI) to treat Chagas disease and Leishmaniasis. Scientists spend years in laboratories mapping protein structures. But last year, DeepMind's AlphaFold program was able to achieve the same accuracy in a matter of days. Many diseases are linked to the roles of proteins in: catalysing chemical reactions (enzymes); fighting disease (antibodies); and acting as chemical messengers (hormones such as insulin). And knowing the 3D structure of a protein is important in developing treatments for, among others, cancer, dementia and infectious diseases.

Prof Dame Janet Thornton, of the European Bioinformatics Institute, told BBC News: "Most new drugs in recent years have been developed using protein-structural data as one part of the process. "There are, however, many other aspects which need to be taken into account, which, due to lack of data, may not be amenable to AI approaches." But the predictions would be "particularly valuable" for pathogens with unknown protein structures, including some neglected diseases. "Developing new AI approaches for designing such drugs is a new challenge but one to which the new AI techniques can be applied and this holds out great hope for the future," Dame Janet added.

Morgan Stanley plans to ban workers from its New York headquarters if they have not received a Covid-19 vaccine. The rule will apply to non-vaccinated guests and clients as well. From a report: According to a source close to the company, Morgan Stanley said in a memo to its employees in the New York metropolitan area that all staff working in buildings with a "large employee presence" are required to confirm their vaccination status by July 1. The source added that "vaccine attestation is on an honorary basis for employees, contingent workforce, clients and visitors." The company plans to expand the vaccination mandate to employees and guests in other Morgan Stanley locations in New York City and nearby Westchester starting July 12. "Operating within a fully vaccinated environment allows us to lift restrictions like the use of face coverings and the need to maintain physical distancing, returning to more normal office conditions," the source added.

Epic Systems' algorithm for identifying signs of sepsis, an often deadly complication from infections that can lead to organ failure, doesn't work as well as advertised, according to a new study published in JAMA Internal Medicine. The Verge reports: Epic says its alert system can correctly differentiate patients who do and don't have sepsis 76 percent of the time. The new study found it was only right 63 percent of the time. An Epic spokesperson disputed the findings in a statement to Stat News, saying that other research showed the algorithm was accurate. Sepsis is hard to spot early, but starting treatment as soon as possible can improve patients' chances of survival. The Epic system, and other automated warning tools like it, scan patient test results for signals that someone could be developing the condition. Around a quarter of US hospitals use Epic's electronic medical records, and hundreds of hospitals use its sepsis prediction tool, including the health center at the University of Michigan, where study author Karandeep Singh is an assistant professor.

The study examined data from nearly 40,000 hospitalizations at Michigan Medicine in 2018 and 2019. Patients developed sepsis in 2,552 of those hospitalizations. Epic's sepsis tool missed 1,709 of those cases, around two-thirds of which were still identified and treated quickly. It only identified 7 percent of sepsis cases that were missed by a physician. The analysis also found a high rate of false positives: when an alert went off for a patient, there was only a 12 percent chance that the patient actually would develop sepsis. Part of the problem, Singh told Stat News, seemed to be in the way the Epic algorithm was developed. It defined sepsis based on when a doctor would submit a bill for treatment, not necessarily when a patient first developed symptoms. That means it's catching cases where the doctor already thinks there's an issue. "It's essentially trying to predict what physicians are already doing," Singh said. It's also not the measure of sepsis that researchers would ordinarily use.

An anonymous reader quotes a report from The Guardian: From espresso to instant, coffee is part of the daily routine for millions. Now research suggests the brew could be linked to a lower chance of developing or dying from chronic liver disease. Chronic liver disease is a major health problem around the world. According to the British Liver Trust, liver disease is the third leading cause of premature death in the UK, with deaths having risen 400% since 1970. Writing in the journal BMC Public Health, Roderick and colleagues report how they analyzed data from 494,585 participants in the UK Biobank -- a project designed to help unpick the genetic and environmental factors associated with particular conditions. All participants were aged 40 to 69 when they signed up to the project, with 384,818 saying they were coffee drinkers at the outset compared with 109,767 who did not consume the beverage.

The team looked at the liver health of the participants over a median period of almost 11 years, finding 3,600 cases of chronic liver disease, with 301 deaths, and 1,839 cases of simple fatty liver disease. The analysis revealed that after taking into account factors such as body mass index, alcohol consumption, and smoking status, those who drank any amount of coffee, and of any sort, had a 20% lower risk of developing chronic liver disease or fatty liver disease (taken together) than those who did not consume the brew. The coffee drinkers also had a 49% lower risk of dying from chronic liver disease. The team said the magnitude of the effect increased with the amount of coffee consumed, up to about three to four cups a day, "beyond which further increases in consumption provided no additional benefit." A reduction in risk was also found when instant, decaffeinated and ground coffee were considered separately -- although the latter linked to the largest effect.

The highly contagious delta variant is the fastest and fittest coronavirus strain yet, and it will "pick off" the most vulnerable people, especially in places with low Covid-19 vaccination rates, World Health Organization officials warned Monday. From a report: Delta, first identified in India, has the potential "to be more lethal because it's more efficient in the way it transmits between humans and it will eventually find those vulnerable individuals who will become severely ill have to be hospitalized and potentially die," Dr. Mike Ryan, executive director of the WHO's emergencies program, said during a news conference. Ryan said world leaders and public health officials can help defend the most vulnerable through the donation and distribution of Covid vaccines. "We can protect those vulnerable people, those frontline workers," Ryan said, "and the fact that we haven't, as Director-General (Tedros Adhanom Ghebreyesus) has said, again and again, is a catastrophic moral failure at a global level." The WHO said Friday that delta is becoming the dominant variant of the disease worldwide. The agency declared delta a "variant of concern" last month. A variant can be labeled as "of concern" if it has been shown to be more contagious, more deadly or more resistant to current vaccines and treatments, according to the health organization.

USA Today reports: Companies like Moderna and Pfizer's partner BioNTech, whose names are familiar from COVID-19 vaccines, are using mRNA to spur cancer patients' bodies to make vaccines that will — hopefully — prevent recurrences and treatments designed to fight off advanced tumors. If they prove effective, which won't be known for at least another year or two, they could be added to the arsenal of immune therapies designed to get the body to fight off its own tumors...

Over the last decade, pharmaceutical companies around the world have been developing new ways to train the body's immune system to fight off tumors, particularly melanoma. They had learned how to remove a brake installed by tumors, unleashing the warriors of the immune system. Ten years ago, only about 5% of people with advanced melanoma survived for five years. Now, nearly half make it that long. Trials of mRNA cancer vaccines aim to boost that number even higher by adding soldiers to the fight... Once a tumor has been largely removed through surgery, a vaccine can help generate new immune soldiers known as T cells... A computer algorithm analyzes the mutations distinct to the cancer cells, looking for ones that trigger the production of T cells, said Melissa J. Moore, Moderna's chief scientific officer, of platform research. So far, she said, Moderna, working with partner Merck, has tested these personalized vaccines in about 100 patients. They aim eventually to make a personalized mRNA vaccine within about 45 days after the patient's cancer surgery, during their recovery...

Mutated cancer cells have proteins on their surface that can be targeted by an mRNA vaccine. For a tumor that has, say, five common mutations, a patient could get a combination of five of these vaccines. On Friday, BioNTech announced it was launching a new trial for this approach, testing it in 120 melanoma patients Europe, the United Kingdom, Australia and the U.S. The new treatment, given in connection with an antibody from Regeneron, is aimed at four tumor-associated antigens. More than 90% of melanoma tumors contain at least one of the four.
The U.S. federal government now lists 29 studies underway or that will be soon investigating mRNA cancer vaccines, according to the article.

And Dr. Stephen Hahn, who had a career as an oncologist before running the Food and Drug Administration from 2019 until early this year, "said he's more optimistic this time because of how much researchers have learned about the role the immune system plays in cancer. 'That gives us an edge to maybe finally get to the place where we need to be.'"

The U.S. government spent more than $18 billion last year funding drugmakers to make a Covid vaccine, an effort that led to at least five highly effective shots in record time. Now it's pouring more than $3 billion on a neglected area of research: developing pills to fight the virus early in the course of infection, potentially saving many lives in the years to come. From a report: The new program, announced on Thursday by the Department of Health and Human Services, will speed up the clinical trials of a few promising drug candidates. If all goes well, some of those first pills could be ready by the end of the year. The Antiviral Program for Pandemics will also support research on entirely new drugs -- not just for the coronavirus, but for viruses that could cause future pandemics. A number of other viruses, including influenza, H.I.V. and hepatitis C, can be treated with a simple pill. But despite more than a year of research, no such pill exists to treat someone with a coronavirus infection before it wreaks havoc. Operation Warp Speed, the Trump administration's program for accelerating Covid-19 research, invested far more money in the development of vaccines than of treatments, a gap that the new program will try to fill.

Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases and a key backer of the program, said he looked forward to a time when Covid-19 patients could pick up antiviral pills from a pharmacy as soon as they tested positive for the coronavirus or develop Covid-19 symptoms. "I wake up in the morning, I don't feel very well, my sense of smell and taste go away, I get a sore throat," Dr. Fauci said in an interview. "I call up my doctor and I say, 'I have Covid and I need a prescription.'" Dr. Fauci's support for research on antiviral pills stems from his own experience fighting AIDS three decades ago. In the 1990s, his institute conducted research that led to some of the first antiviral pills for H.I.V., "protease inhibitors" that block an essential virus protein and can keep the virus at bay for a lifetime.

California on Friday started offering residents a digital record of their coronavirus vaccinations that they can use to access businesses or events that require proof they got the shots. From a report: The state's public health and technology departments said the new tool allows Californians access to their COVID-19 vaccination records from the state's immunization registry and includes the same information as the paper cards issued by the Centers for Disease Control and Prevention. To access the information, Californians will enter into a state website their name, date of birth and email or phone associated with their vaccine records and they will be asked to create a four-digit PIN. The record will include a QR code that users can save to their mobile phones. With nearly 20 million people fully vaccinated in California and proof of vaccination already required in some circumstances such as travel, state health officials felt there would be demand for the tool, though it remains optional, said Dr. Erica Pan, the state's epidemiologist.

Apple Chief Executive Tim Cook has said the company's greatest contribution to mankind will be in health. So far, some Apple initiatives aimed at broadly disrupting the healthcare sector have struggled to gain traction, according to people familiar with them and documents reviewed by The Wall Street Journal. From the report: Apple has envisioned an audacious plan for healthcare, offering its own primary-care medical service with Apple-employed doctors at its own clinics, according to people familiar with the plan and documents. To test that and other bold healthcare ideas, it took over clinics that catered to its employees and built a team with scores of clinicians, engineers, product designers and others. Today those ambitions, which aren't widely known, have largely stalled as Apple has shifted the focus of its health unit to something it knows well: Selling devices, specifically the Apple Watch, according to people familiar with its strategy.

The new primary-care service hasn't gotten off the ground, people familiar with it say. A digital health app launched quietly this year has struggled to keep users engaged, say people familiar with the app and the documents seen by the Journal. Some employees have raised questions internally about the integrity of health data coming from the company's clinics that has been used to support product development, according to people familiar with their concerns and the documents.