09 July 2020
More young people are being infected with the coronavirus, and even though they're less likely to die from it, experts warn the virus' spread among young adults may further fuel outbreaks across the United States.
Why it matters: Some people in their 20s and 30s face serious health complications from COVID-19, and a surge in cases among young people gives the virus a bigger foothold, increasing the risk of infection for more vulnerable people.
- "We may see a pattern of younger people being affected initially, but then, in a number of weeks from now, we’re going to see a more deadly pandemic spreading to elderly people," says Alison Galvani, an epidemiologist at Yale University.
People can transmit the virus without knowing they have it, and younger people, in particular, could be unknowingly spreading the disease.
- A study in Italy, yet to be peer-reviewed, found the probability of having symptoms increased with age and that, among 20–39-year-olds, only about 22% had a fever or respiratory symptoms (compared to about 35% of 60–79-year-olds).
- About half of the clusters in a study in Japan were traced back to people ages 20–39 at karaoke bars, offices and restaurants — and 41% of them did not have symptoms at the time.
- "Younger people are at lower risk for serious COVID outcomes but are disproportionately responsible for asymptomatic transmission," says Galvani, who published a study earlier this week that found the majority of COVID-19 transmission is from silent carriers who are pre-symptomatic or asymptomatic.
By the numbers: From Arizona to Allegheny County, Pa., young people increasingly account for COVID-19 cases.
- In the county of Los Angeles, nearly 50% of cases are now in people under 40 (compared to about 30% in April), per the LA Times.
- In Harris County, Texas, home to Houston, 43% of the 40,000 cases are in people ages 20–39, as of yesterday.
- In Florida, the median age of confirmed cases is hovering in the mid- to late-30s, compared to age 65 in March.
And the proportionof young people hospitalized for COVID-19 has also grown.
- 40% of hospitalizations for COVID-19 at the end of June were for people 18–49-years-old, compared to 26% at the end of March, according to the COVID-NET database of hospitalizations in 14 states that represent about 10% of the U.S. population.
Between the lines: Yes, young people are going to bars and parties — but also to work.
- 42% of people ages 18–39 said they had socialized without social distancing compared to 26% of people over 40, in a survey last month from the Democracy Fund + UCLA Nationscape.
- 64% of frontline workers (grocery store clerks, health care workers, delivery drivers and other essential workers) are under 50.
- There's a need for better education so that young people choose to take steps to prevent infection, says Lauren Ancel Meyers, a mathematical epidemiologist at UT Austin.
- "But it also might come down to policies or regulations that get employers to ensure they are providing a safe workplace or resources to protect 20, 30 and other age groups that are working for them."
Where it stands: Young people are still much less likely to be hospitalized or die from the virus than people older than 60.
- Yes, but: They can and do get very sick with the disease — from dangerous blood clots in their lungs to inflammation of the heart, lungs and even brain.
- And the long-term consequences are unknown.
- The risk is higher for young people of color: For example, the majority of coronavirus hospitalizations among Latino/Hispanic Americans are in people ages 18–49, my Axios colleague Caitlin Owens reported.
"The death rate among the young is not zero, and it is particularly not zero for people who have at least one co-morbid condition. This is not a completely benign disease of the young."
Joshua Schiffer, of the Fred Hutchinson Cancer Center
What to watch: "If hospitals are strained now dealing with younger cases, they are going to be all the more taxed when the age distribution of infections shifts to the elderly," Galvani says.
- Already hospitals in some states are hitting their capacity of ICU beds, indicating more vulnerable people are being infected with the disease, and the death rate is climbing in hot spots.
Transcripts show George Floyd told police "I can't breathe" over 20 times
Section2Newly released transcripts of bodycam footage from the Minneapolis Police Department show that George Floyd told officers he could not breathe more than 20 times in the moments leading up to his death.
Why it matters: Floyd's killing sparked a national wave of Black Lives Matter protests and an ongoing reckoning over systemic racism in the United States. The transcripts "offer one the most thorough and dramatic accounts" before Floyd's death, The New York Times writes.
The state of play: The transcripts were released as former officer Thomas Lane seeks to have the charges that he aided in Floyd's death thrown out in court, per the Times. He is one of four officers who have been charged.
- The filings also include a 60-page transcript of an interview with Lane. He said he "felt maybe that something was going on" when asked if he believed that Floyd was having a medical emergency at the time.
What the transcripts say:
- Floyd told the officers he was claustrophobic as they tried to get him into the squad car.
- The transcripts also show Floyd saying, "Momma, I love you. Tell my kids I love them. I'm dead."
- Former officer Derek Chauvin, who had his knee on Floyd's neck for over eight minutes, told Floyd, "Then stop talking, stop yelling, it takes a heck of a lot of oxygen to talk."
Read the transcripts via DocumentCloud.