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OBJECTIVES: The American Academy of Pediatrics National Registry for the Surveillance and Epidemiology of Perinatal coronavirus disease 2019 (COVID-19) (NPC-19) was developed to provide information on the effects of perinatal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. METHODS: National Registry for the Surveillance and Epidemiology of Perinatal COVID-19 participating centers entered maternal and newborn data for pregnant persons who tested positive for SARS-CoV-2 infection between 14 days before and 10 days after delivery. Incidence of and morbidities associated with maternal and newborn SARS-CoV-2 infection were assessed. RESULTS: From April 6, 2020 to March 19, 2021, 242 centers in the United States centers reported data for 7524 pregnant persons; at the time of delivery, 78.1% of these persons were asymptomatic, 18.2% were symptomatic but not hospitalized specifically for COVID-19, 3.4% were hospitalized for COVID-19 treatment, and 18 (0.2%) died in the hospital of COVID-related complications. Among 7648 newborns, 6486 (84.8%) were tested for SARS-CoV-2, and 144 (2.2%) were positive; the highest rate of newborn infection was observed when mothers first tested positive in the immediate postpartum period (17 of 125, 13.6%). No newborn deaths were attributable to SARS-CoV-2 infection. Overall, 15.6% of newborns were preterm: among tested newborns, 30.1% of polymerase chain reaction-positive and 16.2% of polymerase chain reaction-negative were born preterm (P < .001). Need for mechanical ventilation did not differ by newborn SARS-CoV-2 test result, but those with positive tests were more likely to be admitted to a NICU. CONCLUSIONS: Early in the pandemic, SARS-CoV-2 infection was acquired by newborns at variable rates and without apparent short-term effects. During a period that preceded widespread availability of vaccines, we observed higher than expected numbers of preterm births and maternal in-hospital deaths.

The USACE technical leads were Mr. Brad Eppard and Mr. Fred Higginbotham. The study was designed to evaluate the passage and survival of yearling and subyearling Chinook salmon and juvenile steelhead at McNary Dam as stipulated by the 2008 Biological Opinion and Fish Accords and to assess performance measures including routespecific fish passage proportions, travel times, and survival based upon a virtual/paired-release model. This study supports the USACE's continual effort to improve conditions for juvenile anadromous fish passing through Columbia River dams.

This study simulated large‐scale monitoring program operations to evaluate the responses of age‐1 Chinook Salmon Oncorhynchus tshawytscha to tricaine methanesulfonate (MS‐222; 80 mg/L) exposure and intracoelomic acoustic microtransmitter implantation. The MS‐222 exposure effects and appropriate exposure times for juvenile Chinook Salmon undergoing intracoelomic implantation were determined using blood analytes (Na+, K+, Ca2+), blood pH, plasma cortisol, and survival immediately following anesthetic exposure (3, 6, 9, and 12 min on day 0) and over a recovery period (days 1, 7, and 14). In addition, effects were examined in surgically implanted and nonimplanted fish (but exposed to MS‐222 for 3 min) over a 14‐d recovery period. Regardless of anesthetic exposure time, there were no mortalities during exposure on day 0 or over the recovery period. On day 0, MS‐222 exposure treatments of 9 and 12 min resulted in significantly higher Na+ and Ca2+ and lower K+, indicating a reduced ability to maintain osmotic balance; however, MS‐222 effectively dampened the cortisol release following surgical implantation and anesthetic exposure. Cortisol concentration was significantly higher in surgically implanted fish than in those not surgically implanted over the recovery period. Given these results, we recommend MS‐222 exposure (80 mg/L) times of 6 min or less for compliance programs and studies involving age‐1 Chinook Salmon. In addition, we recommend for other monitoring programs, regardless of species, that maximum MS‐222 exposure times are implemented to minimize stress and surgical effect and that exposure times are specific to a species’ life stage to prevent overexposure and long‐term effects. Furthermore, the knowledge of effects and the development of maximum exposure times are beneficial for hatchery programs, fish barging or transportation programs, and most studies in which fish behavior and physiological responses would need to be dampened using MS‐222 without adverse side effects. Received January 22, 2014; accepted May 15, 2014

Hydropower is the most common form of renewable energy, and countries worldwide are considering expanding hydropower to new areas. One of the challenges of hydropower deployment is mitigation of the environmental impacts including water quality, habitat alterations, and ecosystem connectivity. For fish species that inhabit river systems with hydropower facilities, passage through the facility to access spawning and rearing habitats can be particularly challenging. Fish moving downstream through a hydrofacility can be exposed to a number of stressors (e.g., rapid decompression, cavitation, blade strike and collision, turbulence, and shear forces), which can affect fish survival in direct and indirect ways. Many studies have investigated the effects of hydro-turbine passage on fish; however, the comparability among studies is limited by variation in the metrics and biological endpoints used. Future studies investigating the effects of hydro-turbine passage should focus on using metrics and endpoints that are easily comparable. This review summarizes four categories of metrics that are used in fisheries research that have application to hydro-turbine passage (i.e., mortality, injury, physiological markers, behavior) and evaluates them based on several criteria (i.e., resources needed, invasiveness, comparability among stressors and species, and diagnostic properties). Additionally, these comparisons are put into context of study setting (i.e., laboratory vs. field). Overall, injury and physiological markers are ideal for studies in which there is a need to understand the mechanisms of effect, whereas behavior and mortality metrics provide information on the whole body response of the fish. The study setting strongly influences the comparability among studies. In laboratory-based studies, stressors can be controlled by both type, intensity, and duration, allowing for easy comparisons among studies. In contrast, field studies expose fish to realistic passage environments but the comparability is limited. Based on these results, future studies, whether lab or field-based, should focus on metrics that relate to mortality for ease of comparison, while some diagnostic capability is important for furthering the science.