Velandy Manohar, MD

Fostering Recovery By Increasing Understanding of Mental Illness


  • Home
  • Response to Recent Events in the United States
  • Sources of Solace, Strength, Insight and Inspiration
  • 25 Essential Morning Prayers
  • Dharma - Short Prayer
  • Dharma Prayers 2-7-21
  • Services Provided
  • Common Questions
  • Rates & Insurance
  • Helpful Forms
  • Links & Resources
  • Contact Me
  • Privacy & Policy
  • Hot Topics!
  • Links & Resources
  • Mahatma Gandhi
  • Mahatma Gandhi and the UNO
  • Global Warming Formulating and implementing a coordinated response to an imminent Existential threat
  • Readings for Meditation and inspirational prayers
  • Sanatana Dharma-P2P-Pedro Ruiz
  • Dharma - Shiva Ananda Lahari Commentary
  • Mahatma Gandhiji-Chronology of a blesssed life
  • Mahatma Gandhiji- His life and Message in his own words
  • Mahatma Gandhiji-Principles and Practice of Satyagraha
  • Mahatma Gandhiji- Views on Religious Conversion
  • Mahatma Gandhiji- Spiritual and Psychological Perspectives
  • Mahatma Gandhi 151st Birth Anniversary
  • Compendium of Videos and Posts Updated 10 28 19
  • P2P Psychiatric Delegation Report
  • Corona Virus Prevalence
  • Covid 19: Foundational Data to develop Policies
  • COVID-19 Testing, Key issues on Reliability of results for Clinical interventions and Policy development
  • Corona Virus Testing Challenges must be swiftly addressed
  • COVID-19 Countermeasures
  • COVID-19 Public Education Poster and Telehealth Interventions
  • Covid 19: Why 'Exponential Growth' Is So Scary
  • COVID-19 Policy Implemented In Belgium
  • COVID-19 Impact on Residents of Belgian Nursing Homes
  • COVID-19 Impact of Policies on Seniors in Belgium, Sweden
  • COVID-19 Potential for devastating effects when Social Isolation and Loneliness merges with the Debilitating effects of the Pandemic under the Malignant Ageism Regime in Belgium
  • Importance of COVID-19 Vaccination for Residents of Long-term Care Facilities
  • Covid 19: Vaccination Strategy & Immunization
  • Covid vaccines should go first to health care workers, long term care facility residents
  • COVID-19 DEATHS BY RACE AND ETHNICITY IN THE U.S.
  • More Than 100,000 People Died Of COVID-19 In Nursing Homes, Findings Show : NPR
  • enhancing care of and protecting the lives of our seniors and disabled individuals living in Nursing homes
  • Both Doses of COVID-19 Vaccines Needed, FDA Says
  • Protective immunity against SARS-CoV-2 could last eight months or more
  • NIHCM Newsletter: Chronic Disease, Mental Health & COVID-19
  • COVID-19 R Number & Spread in USA
  • Why 'Exponential Growth' Is So Scary For The COVID-19 Coronavirus
  • COVID-19 Vaccinations - Alternative Testing Options
  • establishing policies for requiring COVID -19 Vaccinations
  • SARS-CoV-2 Transmission From People Without COVID-19 Symptoms
  • Learning from Excess Pandemic Deaths
  • COVID -19 – Vaccination Policies pursued by Govt at all three Levels
  • You Asked, We’re Answering: Your Top Questions about Covid-19 and Vaccines
  • COVID19 Multiple Foundational Reports
  • CDC Alarmed: 74% of Cases in Cape Cod Cluster Were Among the Vaxxed
  • COVID-19: Managing Response to Policy on Vaccinations
  • COVID19-Information from Yale Medicine on Delta variant, common fallacies and how to address misinformation
  • Immune System
  • Inflammation-Top 5 Blood Tests
  • The Human Family
  • Martin Luther King Tribute
  • Right is Right, Even if Everyone Disagrees
  • "We Can't Breathe"
  • Levels of Racism: A Theoretic Framework and a Gardener’s Tale
  • Racism and Health - CDC Reports
  • Sullivan Report: Missing Persons: Minorities in the Health Professions
  • Satyam Eva Jayate- Truth alone prevails.
  • Hospice Training
  • What is a "Good Death"?
  • Fairfield County’s role in the Underground Railroad and early abolition movements.
  • HOLY MATRIMONY
  • America the Beautiful
  • Architecture of Inequality
  • Racism & Health - Disparities
  • Civil War: Letters & Materials
  • Culture Race & Disparities
  • Black Men 2.5 Times More likely than White Men to be Killed by Police
  • Disparities: Anti Racism
  • Disparities and Injustice: Crossing Generations.
  • Disparities: Multiple Articles
  • Disparities: Key reports from Professor David R. Williams
  • Resources on Racism
  • Martin Luther King, Jr. Riverside Church
  • Dr. King’s Beloved Community
  • Social Determinants of Health
  • Oak Creek Community Marks Two Years since Sikh Temple Shooting
  • Race and Race Based Discrimination
  • Race Based Prejudice
  • Criminal Justice Fact Sheet
  • Race, Culture & Urban Design
  • Race-Architecture of White Supremacy
  • The Nation: The Reconstruction-Era Violence Lurking in the Southern Air
  • Meaning behind the Juneteenth flag symbols - CNN
  • Malefic Murders of African Americans
  • How Slavery Haunts Today's America
  • V.A. Issues Employee Vaccine Mandate, a First for a Federal Agency
  • Juneteenth & Multiple Resources on Overcoming Challenges
  • Medical Ethics - The Doctrine of Double Effects
  • Police Accountability Bill
  • COVID-19 Managing Responses to Policies on Vaccinations
  • 'The unvaccinated are not a monolith': Reporters dig into why people delay getting the shot
  • How Teachers Can Manage Burnout During the Pandemic | Rutgers University
  • 5 Things To Know About the Delta Variant
  • Majority of unvaccinated Americans believe COVID-19 vaccines are riskier than infection
  • Debate Is Over: COVID Vax Doubled Protection for the Previously Infected
  • Strong-Arm Tactics Won't Get America Vaccinated
  • COVID-19 Update on Current Challenges and Responses
  • COVID-19 vaccines greatly reduce hospitalization risk
  • COVID19 Public Health Strategies to Address High Levels of Community Transmission of SARS-CoV-2 and Related Deaths
  • TRUTH EVER TRIUMPHS 09 11 20
  • Use of COVID-19 Vaccines After Reports of Adverse Events Among Adult Recipients
  • Largest real-world study of COVID-19 vaccine safety published
  • FDA Approves Pfizer Booster Shots For Americans Over 65 and Those at High Risk
  • COVID-19 ARC Forum 9-9-2021
  • Gandhi Four Hymns for fulfilled life:
  • Med Talk- Gandhhi Darshan-Connecticut College
  • ARC Health Promotion Response to Food and Nutrition Service
  • Treatment Recommendations for Restoring Wellbeing
  • Massachusetts General Hospital- Spiritual Care Spiritual resources for Hard Times
  • COVID-19 CDC Decision on Booster Dose
  • Covid-19 origins: Why the search for the source is vital - CNN
  • Health Promotion - Educational Materials
  • 5 Ways to Prevent Dementia, Says Dr. Sanjay Gupta
  • Health Promotion: Covid 19 & Alzheimers Share Genetic Risk Factor
  • Six Tips to enhance Immunity
  • Increased White Blood Cell Count May Be Tied To Increased Depression Polygenic Scores
  • Response to Elon Musk and World Food Program: Solve World Hunger
  • Covid 19 - Delta-Omicron- Beta variants
  • Human Immune System - WebMD
  • COVID-19 Vaccinations and sustaining robust levels on nAb
  • Health Promotion Diets affect Intestinal Cells structure and function
  • MH Resources
  • COVID- 19 Dr Kesslers interview with Maddow on Managing risks plusTony Fauci-Vivek Murthy-Rochelle Walensky
  • COVID19-Five Reports on Issues with CDC 12/27/21 recommendations
  • COVID19-Risk of COVID19 Death nearly 4X Higher in Schizophrenics
  • Dharma-Response to Calls for Genocide in the Name of Hindu Dharma
  • COVID19-Can You Leave Isolation After 5 Days?
  • Afghanistan Advocacy 12/21/21
  • Classical Music list and resources to restoration of well-being,
  • Managing Risks of Omicron Variant in Community - Issues with CDC Guidelines
  • COVID19-Isolation Should Not Be "One Size fits All" Amesh Aldeja
  • Health Promotion Recomendations - Belly Fat and associated issues
  • How Omicron Symptoms Differ From Delta, Past COVID-19 Variants: Charts
  • Testing Could Help End the Pandemic, if Only We Had Tests
  • Pooja Vidhanam
  • Letter to PM re: Narayana Guru
  • India must revive Santan Dharma Principles
  • Stop the Shooter - Stop the Bleed
  • Strategies to adopt Countermeasures to Stop the Shooters from achieving their gory goals
  • Impact of Gun Ownership Patterns and Availability of Firearms to Children 1-18 in the USA
  • Veterans' Health-Engagements Part 1
  • Vetrans' Health - Camp Lejeune_Janey Ensminger
  • Vetrans' Health- Personality Disorder Discharges
  • Vetrans' Health_Personality Disorder Discharges Part2
  • Vetrans' Heath Part 3
  • Vetrans' Health - Stand Down / Memorial Day Parade
  • Vetrans' Health - Marine Corp League
  • American gun violence has immense costs beyond the death toll
  • Uvalde shooter exhibited '"almost every warning sign"
  • SANATANA DHARMA VAK - MOKSHA NAAVAM
  • Sadhana Path - The eBook
  • Temple Book- Touchstones on the path from despondency to liberation andTranscendence
  • Reflections on a well lived life of my Pooja Poocha [Cat]RIP
  • Mindfulness, and Self-Regulation resources
Velandy Manohar, MD
93, Meeting house road
Haddam, CT 06438
[email protected]

COVID19-Risk of COVID19 Death nearly 4X Higher in Schizophrenics

Risk of COVID-19 Death Nearly 4 Times Higher in People with Schizophrenia

Jolynn Tumolo, 01/06/2022

People with schizophrenia had higher odds of dying from COVID-19 but, along with people with mood disorders, had significantly lower rates of testing positive for COVID-19 compared with the general population. Researchers published their findings in JAMA Network Open.

“After fully adjusting for demographic factors and comorbid conditions,” researchers reported, “patients with schizophrenia were nearly 4 times more likely to die from the disease than the reference group (OR, 3.74; 95% CI, 2.66-5.24).”

Using electronic health record data for 2.5 million US patients in 2020, researchers compared patients with 3 types of psychiatric disorders (schizophrenia, mood disorders, and anxiety disorders) and a reference group of patients with no major psychiatric conditions on 2 measures: the odds of testing positive for COVID-19 and the odds of death from COVID-19.

Schizophrenia Outcomes Better With Case-Managed Care in the Community

Results showed COVID-19 positivity rates of 9.86% for the schizophrenia cohort and 9.86% for the mood disorder cohort, which were significantly lower than positivity rates for the anxiety disorder cohort (11.17%) as well as the general population (11.91%).

In addition to finding patients with schizophrenia who had COVID-19 were nearly 4 times more likely to die from it compared with the reference group, the study found that patients with mood disorders had 2.76 times greater odds of COVID-19 mortality, while the anxiety disorder cohort had a 2.39 times greater odds of mortality, compared with the reference group.

Researchers believe lower rates of COVID-19 positivity in people with schizophrenia and mood disorders could reflect either less virus exposure due to social withdrawal or, alternatively, lower testing numbers rather than reduced infection rates.

“Upon review of the site of COVID-19 testing, it was revealed that the patients with schizophrenia had a much higher rate (almost 40%) of receiving a test at an inpatient facility, including a psychiatric facility,” researchers wrote. “These patients would ostensibly be less likely to seek testing in outpatient clinics or dedicated sites, probably undergoing COVID-19 tests when presenting related symptoms.”

Reference

Teixeira AL, Krause TM, Ghosh L, et al. Analysis of COVID-19 infection and mortality among patients with psychiatric disorders, 2020. JAMA Netw Open. Published online November 1, 2021. doi: 10.1001/jamanetworkopen.2021.34969

Feedback provided on site. 01 06 22

Ms. Tumolo,

Thank you very much. You have provided powerful and very upsetting reasons for me to seek amendments to CDC Guidelines from 12 27 21. I will resist to the best of ability to protect all of my persons afflicted with SMI and Addictive Disorders and all of our friends, colleagues, staff and members of the communities all over the USA. I wish to share this link to the AMA's position from 01 06 22. COVID live updates: American Medical Association criticizes CDC's new guidance | WPHM. As the COVID-19 pandemic has swept the globe, more than 5.4 million people have died from the disease worldwide, including over 832,000 Americans, according to real-time data compiled by Johns Hopkins University’s Center for Systems Science and Engineering. “The American people should be able to count on the Centers for Disease Control and Prevention (CDC) for timely, accurate, clear guidance to protect themselves, their loved ones, and their communities. Instead, the new recommendations on quarantine and isolation are not only confusing, but are risking further spread of the virus,” the American Medical Association’s president, Dr. Gerald E. Harmon, said in a statement Wednesday night.

Harmon referenced data cited by the CDC in its rationale for shortening the isolation period, which estimates 31% of people remain infectious five days after a positive COVID-19 test, suggesting that data proves thousands of Americans could return to their lives while still infected.

“With hundreds of thousands of new cases daily and more than a million positive reported cases on January 3, tens of thousands — potentially hundreds of thousands of people — could return to work and school infectious if they follow the CDC’s new guidance on ending isolation after five days without a negative test,” Harmon said. “Physicians are concerned that these recommendations put our patients at risk and could further overwhelm our health care system.”

Harmon said a negative COVID-19 test should be required for ending isolation after a positive test, as reentering society without knowing whether an individual is still positive ultimately risks further transmission of the virus. [We might need two antigen rapid tests on successive days on 5th and 7th days for instance to make sure the person si safe to stop isolation especially if a Prior PCR test was positive during this episode. With the numbers of people potentially at risk we must revise the CDC guidelines. Dr Walensky, MD is undermining our oath to uphold this tenet of Medical Ethics. Primum Non Nocere.  Please write to me I have a great deal of information on COVID-19 Risk mitigation strategies. Velandy Manohar, MD., Distinguished Life Fellow, Am Psychiatric Assoc. I concur with Dr Harmon and the AMA- Although test availability remains an issue nationwide, Harmon also called on the Biden administration to ramp up production and distribution of tests, adding that “a dearth of tests at the moment does not justify omitting a testing requirement to exit a now shortened isolation.” VM

 

Disclaimer
af85ad9eae708e5da5e8224db764e774