Why have so many African leaders died of COVID-19?

This paper provides evidence that the COVID-19-related mortality rate of national government ministers and heads of state has been substantially higher than that of people with a similar sex and age profile in the general population, a trend that is driven by African cases (17 out of 24 reported deaths worldwide, as of 6 February 2021). Ministers' work frequently puts them in close contact with diverse groups, and therefore at higher risk of contracting SARS-CoV-2, but this is not specific to Africa. This paper discusses five non-mutually exclusive hypotheses for the Africa-specific trend, involving comorbidity, poorly resourced healthcare and possible restrictions in accessing out-of-country health facilities, the underreporting of cases, and, later, the disproportionate impact of the so-called 'South African' variant (501Y.V2). The paper then turns its attention to the public health and political implications of the trend. While governments have measures in place to cope with the sudden loss of top officials, the COVID-19-related deaths have been associated with substantial changes in public health policy in cases where the response to the pandemic had initially been contested or minimal. Ministerial deaths may also result in a reconfiguration of political leadership, but we do not expect a wave of younger and more gender representative replacements. Rather, we speculate that a disconnect may emerge between the top leadership and the public, with junior ministers filling the void and in so doing putting themselves more at risk of infection. Opposition politicians may also be at significant risk of contracting SARS-CoV-2.

Reflective all-sky thermal infrared cloud imager.

A reflective all-sky imaging system has been built using a long-wave infrared microbolometer camera and a reflective metal sphere. This compact system was developed for measuring spatial and temporal patterns of clouds and their optical depth in support of applications including Earth-space optical communications. The camera is mounted to the side of the reflective sphere to leave the zenith sky unobstructed. The resulting geometric distortion is removed through an angular map derived from a combination of checkerboard-target imaging, geometric ray tracing, and sun-location-based alignment. A tape of high-emissivity material on the side of the reflector acts as a reference that is used to estimate and remove thermal emission from the metal sphere. Once a bias that is under continuing study was removed, sky radiance measurements from the all-sky imager in the 8-14 µm wavelength range agreed to within 0.91 W/(m2 sr) of measurements from a previously calibrated, lens-based infrared cloud imager over its 110° field of view.

Colors of thermal pools at Yellowstone National Park.

The brilliant visible colors of various hot springs and pools in Yellowstone National Park are explained with a combination of scattering from the water and from microbial mats that coat the bottoms of these thermal features. A simple 1D radiative transfer model was used to simulate the colors recorded in visible photographs and the spectrum of light making up these colors. The model includes attenuation in water by absorption and molecular scattering as well as reflection characteristics of the microbial mats and surface reflection of the water. Pool geometries are simulated as simple rough cones scaled to have depths and widths that match published data. Thermal images are also used to record the spatial distribution of water skin temperature. The measurements and simulations confirm that colors observed from shallow-water features arise primarily from the spectral properties of the microbial mat, which is related to the water temperature, while colors observed from deeper water arise primarily from the wavelength-dependent absorption and scattering in the water.

Infrared Moon imaging for remote sensing of atmospheric smoke layers.

Simultaneous visible and long-wave infrared (IR) images of the Moon were used with a simple energy-balance model to study the spatial pattern of lunar surface temperatures. The thermal images were obtained with a radiometrically calibrated, compact, low-cost, commercial IR camera mounted on a small telescope. Differences between the predicted and measured maximum Moon temperatures were used to determine the infrared optical depth (OD), which represents the path-integrated extinction of an elevated layer of wildfire smoke in the atmosphere. The OD values retrieved from the IR Moon images were combined with simultaneous OD measurements from a ground-based, zenith-pointing lidar operating at a wavelength of 532 nm to determine an IR-to-visible OD ratio of 0.50±0.18 for moderately aged wildfire smoke aerosol.

Visible and invisible mirages: comparing inferior mirages in the visible and thermal infrared.

Visible (VIS)-light and thermal infrared (IR) inferior mirages in the 8-14 µm waveband have been observed simultaneously for the takeoff and landing of various airplanes at distances of several kilometers. Similarities as well as differences between the VIS and IR mirages are discussed.

Hemodynamic correlates of drug-induced vascular injury in the rat using high-frequency ultrasound imaging.

Several classes of drugs have been shown to cause drug-induced vascular injury (DIVI) in preclinical toxicity studies. Measurement of blood flow and vessel diameter in numerous vessels and across various tissues by ultrasound imaging has the potential to be a noninvasive translatable biomarker of DIVI. Our objective was to demonstrate the utility of high-frequency ultrasound imaging for measuring changes in vascular function by evaluating blood flow and vessel diameter in the superior mesenteric arteries (SMA) of rats treated with compounds that are known to cause DIVI and are known vasodilators in rat: fenoldopam, CI-1044, and SK&F 95654. Blood flow, vessel diameter, and other parameters were measured in the SMA at 4, 8, and 24 hr after dosing. Mild to moderate perivascular accumulations of mononuclear cells, neutrophils in tunica adventitia, and superficial tunica media as well as multifocal hemorrhage and necrosis in the tunica media were found in animals 24 hr after treatment with fenoldopam and SK&F 95654. Each compound caused marked increases in blood flow and shear stress as early as 4 hr after dosing. These results suggest that ultrasound imaging may constitute a functional correlate for the microscopic finding of DIVI in the rat.

Long-wave infrared imaging for non-invasive beehive population assessment.

Long-wave infrared imaging is used for non-invasive assessment of the internal population of honey bee colonies. The radiometrically calibrated camera signal is related to the number of frames that are populated by bees inside each hive. This enables rapid measurement of population without opening the hive, which disturbs the bees and can endanger the queen. The best results are obtained just before sunrise, when there is maximum thermal contrast between the hive and the background. This technique can be important for bee hive monitoring or for applications requiring frequent hive assessment, such as the use of bees for detecting chemicals or explosives.

Infrared cloud imaging in support of Earth-space optical communication.

The increasing need for high data return from near-Earth and deep-space missions is driving a demand for the establishment of Earth-space optical communication links. These links will require a nearly obstruction-free path to the communication platform, so there is a need to measure spatial and temporal statistics of clouds at potential ground-station sites. A technique is described that uses a ground-based thermal infrared imager to provide continuous day-night cloud detection and classification according to the cloud optical depth and potential communication channel attenuation. The benefit of retrieving cloud optical depth and corresponding attenuation is illustrated through measurements that identify cloudy times when optical communication may still be possible through thin clouds.

Radiometric cloud imaging with an uncooled microbolometer thermal infrared camera.

An uncooled microbolometer-array thermal infrared camera has been incorporated into a remote sensing system for radiometric sky imaging. The radiometric calibration is validated and improved through direct comparison with spectrally integrated data from the Atmospheric Emitted Radiance Interferometer (AERI). With the improved calibration, the Infrared Cloud Imager (ICI) system routinely obtains sky images with radiometric uncertainty less than 0.5 W/(m(2 )sr) for extended deployments in challenging field environments. We demonstrate the infrared cloud imaging technique with still and time-lapse imagery of clear and cloudy skies, including stratus, cirrus, and wave clouds.

Polarization lidar measurements of honey bees in flight for locating land mines.

A scanning polarized lidar was used to detect flying honey bees trained to locate buried land mines through odor detection. A lidar map of bee density shows good correlation with maps of chemical plume strength and bee density determined by visual and video counts. The co-polarized lidar backscatter signal was found to be more effective than the crosspolarized signal for detecting honey bees in flight. Laboratory measurements show that the depolarization ratio of scattered light is near zero for bee wings and up to 30% for bee bodies.

The Ottawa knee rule: avoiding unnecessary radiographs in sports.

Physicians are often called upon to evaluate acute knee injuries. Radiographs are frequently ordered, but they may not be helpful for making the diagnosis and guiding treatment of soft-tissue injuries. A set of clinical criteria, called the Ottawa knee rule, has been established to predict when radiographs are truly necessary. The sensitivity and negative predictive value of the rule were both validated at 100% for fractures of the knee in adults. By using the Ottawa knee rule, at least 25% of unnecessary films can be avoided without risking patient safety. The rule has not specifically been studied among sports participants, but indications are that it can be useful in this population.

Intracellular dynamics of Smad-mediated TGFbeta signaling.

The transforming growth factor-beta (TGFbeta) family represents a class of signaling molecules that plays a central role in morphogenesis, growth, and cell differentiation during normal embryonic development. Members of this growth factor family are particularly vital to development of the mammalian secondary palate where they regulate palate mesenchymal cell proliferation and extracellular matrix synthesis. Such regulation is particularly critical since perturbation of either cellular process results in a cleft of the palate. While the cellular and phenotypic effects of TGFbeta on embryonic craniofacial tissue have been extensively catalogued, the specific genes that function as downstream mediators of TGFbeta action in the embryo during palatal ontogenesis are poorly defined. Embryonic palatal tissue in vivo and murine embryonic palate mesenchymal (MEPM) cells in vitro secrete and respond to TGFbeta. In the current study, elements of the Smad component of the TGFbeta intracellular signaling system were identified and characterized in cells of the embryonic palate and functional activation of the Smad pathway by TGFbeta1, TGFbeta2, and TGFbeta3 was demonstrated. TGFbeta-initiated Smad signaling in cells of the embryonic palate was found to result in: (1) phosphorylation of Smad 2; (2) nuclear translocation of the Smads 2, 3, and 4 protein complex; (3) binding of Smads 3 and 4 to a consensus Smad binding element (SBE) oligonucleotide; (4) transactivation of transfected reporter constructs, containing TGFbeta-inducible Smad response elements; and (4) increased expression of gelatinases A and B (endogenous genes containing Smad response elements) whose expression is critical to matrix remodeling during palatal ontogenesis. Collectively, these data point to the presence of a functional Smad-mediated TGFbeta signaling system in cells of the developing murine palate.

Increased susceptibility to retinoid-induced teratogenesis in TGF-beta2 knockout mice.

Transforming growth factor-beta (TGF-beta) and retinoic acid (RA) have been implicated in normal and abnormal embryonic development. The aim of this study was to investigate the effect of TGF-beta2 gene deletion on susceptibility to RA-induced teratogenesis in a mouse model. TGF-beta2 heterozygous or wild-type mice were mated and the dams dosed with a teratogenic dose of RA, or with control vehicle. The incidence of RA-induced cleft palate (CP) was 48% in wild-type embryos from wild-type dams, increasing to 71% in TGF-beta2 heterozygous littermates. Wild-type and TGF-beta2 heterozygous embryos from heterozygous dams exhibited a CP incidence of 74 and 77% respectively, following treatment with RA. Ninety-one percent of littermates nullizygous for TGF-beta2 were dead when examined; the remainder exhibited a CP. We conclude that the genotype of the dam and embryo with respect to TGF-beta2 affects the incidence of RA-induced teratogenesis.

Phosphatase regulation of gene expression during development of the palate.

In mammalian cells, including those of the embryonic palate, the level of phosphorylation of cellular proteins at any given time reflects the activities of protein kinases and protein phosphatases. Both protein phosphatase-1 (PP-1) and PP-2A inhibit cAMP-mediated increases in transcription by dephosphorylating CREB at ser-133. Western blot analysis indicated that protein phosphatase 1 (PP-1) was expressed constitutively in palatal tissue during its development. Expression of PP-2A was regulated developmentally with maximal expression on gestational day (gd) 14. Densitometric scanning revealed a 30% increase in expression from gd 13 to gd 14. Virtually all phosphatase activity in the tissue extracts could be inhibited by 5 microM okadaic acid, demonstrating that PP-1 and PP-2A account for all detectable ser/thr protein phosphatase activity present in the developing palate. Moreover, no significant differences in PP-1 and PP-2A activities were observed during the period of palate development. Treatment of primary cultures of murine embryonic palate mesenchymal (MEPM) cells with forskolin (20 microM) to elevate intracellular cAMP levels, resulted in a time-dependent increase in CREB ser-133 phosphorylation and a corresponding time dependent decrease in PP-1 and PP-2A levels. Moreover, treatment of MEPM cells with okadaic acid resulted in a dramatic increase in basal CREB ser-133 phosphorylation. This suggests that PP-1 activity may contribute to transcriptional regulation of CREB and that PP-1 and PP-2A are regulated differentially by cAMP. Treatment of MEPM cells with TGF beta 1 (1 ng/ml) under conditions of TGF beta-induced CREB phosphorylation resulted in no effect on the expression of either PP-1 or PP-2A proteins and no significant alterations in total basal protein phosphatase activity. These results demonstrate that transcriptional regulation of CREB in embryonic palatal issue is dependent on the coordinate activity of specific kinases and phosphatases.