Management of newborns exposed to mothers with confirmed or suspected COVID-19 Shaili Amatya, Tammy E. Corr, Chintan K. Gandhi, Kristen M. Glass, Mitchell J. Kresch, Dennis J. Mujsce, Christiana N. Oji-Mmuo, Sara J. Mola, Yuanyi L. Murray, Timothy W. Palmer, Meenakshi Singh, Ashley Fricchione, Jill Arnold, Danielle Prentice, Colin R. Bridgeman, Brandon M. Smith, Patrick J. Gavigan, Jessica E. Ericson, Jennifer R. Miller, Jaimey M. Pauli, Duane C. Williams, George D. McSherry, Richard S. Legro, Sarah M. Iriana & Jeffrey R. Kaiser Journal of Perinatology (2020) Abstract There is limited information about newborns with confirmed or suspected COVID-19. Particularly in the hospital after delivery, clinicians have refined practices in order to prevent secondary infection. While guidance from international associations is continuously being updated, all facets of care of neonates born to women with confirmed or suspected COVID-19 are center-specific, given local customs, building infrastructure constraints, and availability of protective equipment. Based on anecdotal reports from institutions in the epicenter of the COVID-19 pandemic close to our hospital, together with our limited experience, in anticipation of increasing numbers of exposed newborns, we have developed a triage algorithm at the Penn State Hospital at Milton S. Hershey Medical Center that may be useful for other centers anticipating a similar surge. We discuss several care practices that have changed in the COVID-19 era including the use of antenatal steroids, delayed cord clamping (DCC), mother–newborn separation, and breastfeeding. Moreover, this paper provides comprehensive guidance on the most suitable respiratory support for newborns during the COVID-19 pandemic. We also present detailed recommendations about the discharge process and beyond, including providing scales and home phototherapy to families, parental teaching via telehealth and in-person education at the doors of the hospital, and telehealth newborn follow-up.

World population is projected to reach 10.9 billion by 2100, yet nearly one-fifth of the world's current 7.2 billion live without access to electricity. Though universal energy access is desirable, a significant reduction in fossil fuel usage is required before mid-century if global warming is to be limited to <2 °C. Here we quantify the changes in the global energy mix necessary to address population and climate change under two energy-use scenarios, finding that renewable energy production (9% in 2014) must comprise 87–94% of global energy consumption by 2100. Our study suggests >50% renewable energy needs to occur by 2028 in a <2 °C warming scenario, but not until 2054 in an unconstrained energy use scenario. Given the required rate and magnitude of this transition to renewable energy, it is unlikely that the <2 °C goal can be met. Focus should be placed on expanding renewable energy as quickly as possible in order to limit warming to 2.5–3 °C.