Philadelphia’s six-hospital University of Pennsylvania Health System also extended requirements Thursday to its 44,000 employees and clinical staff.
In April, Houston Methodist, was one of the first hospital systems to announce a mandate, said it would require its 26,000 employees to receive a COVID-19 vaccine by June 7, MedPage reports…
The state of play: Even in health care settings, vaccine mandates raise questions of ethics and workers’ rights. Health care facilities have long required workers to get other vaccines, including flu shots.
In December, the Equal Employment Opportunity Commission said mandating coronavirus vaccines would not violate federal disability law or civil rights statutes on discrimination as long as there are options to apply for a religious or medical exemption.
Still, other health systems have decided not to mandate the vaccine until a shot is approved by the FDA.
“What we’re hearing from many hospitals is that they will likely make determination of requirement of the COVID-19 vaccine for their own employees at the time the vaccines receive full approval from the FDA, which has not happened yet, but will likely happen soon,” Nancy Foster, the American Hospital Association’s vice president of quality and patient safety policy, tells Axios.
What to watch: Those who do require shots risk having to dismiss those who won’t comply when health care staffing for many systems is tight.” (A)
“One of New Jersey’s largest private employers, the RWJBarnabas Health system, will require supervisors and higher-level staff to be vaccinated for COVID-19 by the end of June — a decision it said Thursday will eventually be extended to all 35,000 members of its staff.
The 11-hospital system is “committed to providing a culture of safety,” said Barry Ostrowsky, its president and CEO. “We have an obligation to do all we can to protect our patients and the communities we serve.”
About 500 members of the supervisory staff are unvaccinated, an RWJBarnabas spokeswoman said. The policy for those who do not comply “is being finalized over the next several days,” she said.
The health system appears to be the first major employer in New Jersey to require at least some of its staff to be vaccinated. No other major New Jersey company has made such a requirement, said Tom Bracken, CEO of the New Jersey Chamber of Commerce.
“Our position is if employers want to do it, they can do it,” he said. “We’re very much in favor of getting the workforce vaccinated. It creates a safer work environment. It helps open the economy up and gets us back to where we want to be.” ..
A majority of the RWJBarnabas Health staff already are fully vaccinated, and vaccinations will be available throughout the system to any who need them, the company said…
Other health systems said they weren’t planning to mandate staff vaccines at this time.
Hackensack Meridian Health, with three teaching hospitals and nine community hospitals, said through a spokesman that its vaccine rate “is approaching 70% and is 89% for our leaders.
“We continue to carefully evaluate our options,” said Benjamin Goldstein, director of public relations.
Bergen New Bridge Medical Center, the county-owned facility in Paramus, said that a mandate wasn’t necessary, because 82% of its staff has been vaccinated. It does, however, require all new employees, volunteers, students and interns to get the shots.
St. Joseph’s Health, with hospitals in Paterson and Wayne, is not considering a mandate at this time, said Pam Garretson, a spokeswoman. Currently, 72% of its staff are vaccinated. Holy Name Medical Center in Teaneck is not mandating COVID vaccines because they are still administered under “emergency use authorization” from the FDA rather than full approval, a spokeswoman said.
Virtua Health, with hospitals in Camden, Mount Holly, Marlton, Voorhees and Wiilingboro, does not mandate the vaccines, but is “strongly encouraging and promoting the vaccine among our workforce,” said a spokesman. Slightly fewer than 70% of its staff are vaccinated.
And Atlantic Health System, which includes Morristown Medical Center, Chilton Medical Center in Pompton Plains, Overlook Medical Center in Summit, Newton Medical Center and Hackettstown Medical Center, does not mandate vaccines. About 70% of its employees are vaccinated, said Luke Margolis, a spokesman.” (B)
“So far, 83% of “supervisory and above level staff” have been vaccinated, (RWJ) spokeswoman Carrie Cristello told NJ Advance Media.
When asked what happens if an employee refuses to be vaccinated or cites a medical reason why they can’t be vaccinated, Cristello said the company’s policy will be finalized over the next several days.” (C)
“The University of Pennsylvania Health System, the largest private employer in Philadelphia, on Wednesday announced that all employees and clinic staff will be required to be vaccinated against COVID-19 by Sept. 1…
Penn Health officials decided the only issue that really matters is protecting people.
“We recognize that not everyone will agree with this decision,” said a Wednesday memo to UPHS employees. “As an industry grounded in the science and art of healthcare, we believe it is imperative for the UPHS to take the lead in requiring vaccinations to protect our patients and to set an example for those who remain hesitant both within our institution and in the broader community. The safety of our patients and staff are our highest priorities. The threat of further harm and the possibility of more dangerous viral mutants emerging before we reach herd immunity compels us to take this step.”…
New UPHS hires will have to provide proof of vaccination, or be fully immunized two weeks before starting work. Religious or medical exemptions may be granted, just as with the seasonal flu shot policy in place for more than a decade. But non-exempted workers who remain unvaccinated will be subject to disciplinary actions, including firing, the memo said.
In a statement, UPHS said all employees and clinicians have been offered the vaccine, and more than 33,000 — nearly 70% of the 47,000-member workforce — are now fully immunized.
“Ultimately, people do have a choice,” Patrick J. Brennan, chief medical officer and senior vice president of UPHS, said in an interview. “But there is evidence that unvaccinated workers are still getting sick and spreading it in nursing homes and other health-care settings. And staff members are getting sick and dying. So it’s a double-edged sword. No one is forced to be vaccinated, but it is a choice that affects employment” at UPHS.
Ezekiel J. Emanuel, a Penn professor of medical ethics and health policy, echoed that sentiment in a recent pro-mandate opinion piece in the New York Times: “Health care workers are professionals whose primary obligation is to their patients’ health and well-being.”” (D)
“There are also legal considerations.
The FDA has approved vaccines manufactured by Pfizer-BioNTech, Moderna and Johnson & Johnson for emergency use. However, the federal government has not given the vaccines full approval.
The FDA’s emergency use authorizations specify that people must give consent to being vaccinated, Lawrence Gostin, a professor at Georgetown University Law Center in Washington, D.C., with expertise in health law, told The Washington Post in an April 5 article. Therefore, he told the newspaper, mandating a vaccine only authorized for emergency use could raise legal questions.
The CDC has said the decision by employers about mandates is a matter of state or other applicable law, and if employers require proof from workers that they have been vaccinated, the employer can’t require the employee to provide medical information as part of the proof. The CDC said employers may implement religious and medical exemptions.
And the Equal Employment Opportunity Commission has released guidance on the issue. The commission told Becker’s April 22 that for employers requiring vaccination be obtained in the community as an employment condition, the Americans with Disabilities Act may require reasonable accommodation [unless there is significant difficulty or expense for the employer] for those who cannot be vaccinated because of disability. Similarly, according to the commission, Title VII of the Civil Rights Act of 1964 may require reasonable accommodation of employees’ religious beliefs or practices related to vaccines, unless the accommodation constitutes undue hardship on the employer’s operations under the law.
“Whether there are feasible accommodations that do not pose an undue hardship will depend on many facts specific to each workplace and the duties of the individual,” a commission spokesperson said… “ (E)
PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.”
PART 2. January 29, 2020. CORONAVIRUS. “If it’s not contained shortly, I think we are looking at a pandemic..”….. “With isolated cases of the dangerous new coronavirus cropping up in a number of states, public health officials say it is only a matter of time before the virus appears in New York City.”
PART3. February 3, 2020. “The Wuhan coronavirus spreading from China is now likely to become a pandemic that circles the globe…”..Trump appeared to downplay concerns about the flu-like virus …We’re gonna see what happens, but we did shut it down..” (D)
PART 4. February 9, 2020. Coronavirus. “A study published Friday in JAMA found that 41% of the first 138 patients diagnosed at one hospital in Wuhan, China, were presumed to be infected in that hospital.….
PART 5. February 12, 2020. CORONAVIRUS. “In short, shoe-leather public health and basic medical care—not miracle drugs—are generally what stop outbreaks of emerging infections..”
POST 6. February 18, 2020. Coronovirus. “Amid assurances that the (ocean liner) Westerdam was disease free, hundreds of people disembarked in Cambodia…” “ One was later found to be infected”…. “Over 1,000… passengers were in…transit home”…. “This could be a turning point””
PART 7. February 20, 2020. CORONAVIRUS. With SARS preparedness underway in NJ LibertyHealth/ Jersey City Medical Center, where I was President, proposed that our 100 bed community hospital with all single-bedded rooms, be immediately transformed into an EMERGENCY SARS ISOLATION Hospital.
PART 8. February 24, 2020. CORONAVIRUS. “…every country’s top priority should be to protect its health care workers. This is partly to ensure that hospitals themselves do not become sites where the coronavirus is spread more than it is contained.”
PART 9. February 27, 2020. CORONAVIRUS. Responding to a question about the likelihood of a U.S. outbreak, President Trump said, “I don’t think it’s inevitable…”It probably will. It possibly will,” he continued. “It could be at a very small level, or it could be at a larger level.”
Part 10. March 1, 2020. CORONAVIRUS. Stop Surprise Medical Bills for Coronavirus care. (&) Lessons Learned (or not) In California and Washington State from community acquired cases.
PART 11. March 5, 2020. CORONAVIRUS. “Gov. Andrew Cuomo… would require employers to pay workers and protect their jobs if they are quarantined because of the coronavirus.”
Part 12. March 10, 2020. CORONAVIRUS. “Tom Bossert, Donald Trump’s former homeland security advisor…(said) that due to the coronavirus outbreak, “We are 10 days from the hospitals getting creamed.”
Part 13.. March 14, 2020. CORONAVIRUS. “If I’m buying real estate in New York, I’ll listen to the President….If I’m asking about infectious diseases, I’m going to listen to Tony Fauci,”
PART 14. March 17, 2020. CORONAVIRUS. “ “Most physicians have never seen this level of angst and anxiety in their careers”…. One said “I am sort of a pariah in my family.”
PART 15. March 22, 2020. CORONAVIRUS. “…Crimson Contagion” and imagining an influenza pandemic, was simulated by the Trump administration….in a series of exercises that ran from last January to August.
PART 16. March 27, 2020. CORONAVIRUS. I am not a clinician or a medical ethicist but articles on Coronavirus patient triage started me Googling………to learn about FUTILE TREATMENT
PART 17. April 2, 2020. CORONAVIRUS. Florida allows churches to continue holding services. Gun stores deemed “essential.” “New York’s private and public hospitals unite to manage patient load and share resources.
PART 18. April 9, 2020. CORONAVIRUS. “The federal government’s emergency stockpile of personal protective equipment (PPE) is depleted, and states will not be receiving any more shipments, administration staff told a House panel.
PART 19. April 13, 2020 CORONOAVIRUS. “…overlooked in the United States’ halting mobilization against the novel coronavirus: the personal aides, hospice attendants, nurses and occupational or physical therapists who deliver medical or support services to patients in their homes.”
POST 22. April 29, 2020. CORONAVIRUS. ..the “ACS released a list of 10 issues that should be addressed before a healthcare organization resumes elective surgeries[JM1] ….”
POST 23. May 3, 2020. CORONAVIRUS. … what Dr. Fauci really wants,…”is just to go to a baseball game. That will have to wait. The level of testing for the virus is not adequate enough to allow for such mass gatherings.’ (K)
POST 24. May 7, 2020. CORONAVIRUS. Former New Jersey governor Chris Christie said: “there are going to be deaths no matter what”… but that people needed to get back to work.
POST 25. May 10, 2020, CORONAVIRUS. “It is scary to go to work,” said Kevin Hassett, a top economic adviser to the president. “I think that I’d be a lot safer if I was sitting at home than I would be going to the West Wing.”
POST 26. May 14, 2020. CORONAVIRUS, “Deep cleaning is not a scientific concept”….”there is no universal protocol for a “deep clean” to eradicate the coronavirus”
POST 27. May 19, 2020. CORONAVIRUS. “Hospital…executives…are taking pay cuts…to help offset the financial fallout from COVID-19.” As “front line” layoffs and furloughs accelerate…
POST 28. May 23, 2020. CORONAVIRUS. ““You’ve got to be kidding me,”..”How could the CDC make that mistake? This is a mess.” CDC conflates viral and antibody tests numbers.
PART 29. May 22, 2020. CORONAVIRUS. “The economy did not close down. It closed down for people who, frankly, had the luxury of staying home,” (Governor Cuomo). But not so for frontline workers!
POST 30. June 3,202. CORONAVIRUS. “The wave of mass protests across the United States will almost certainly set off new chains of infection for the novel coronavirus, experts say….
Post 32. June 16, 2020. CORONAVIRUS. Could the Trump administration be pursuing herd immunity by “inaction”? “ If Fauci didn’t exist, we’d have to invent him.”
POST 34. June 26, 2020. CORONAVIRUS. CDC Director Redfield… “the number of coronavirus infections…could be 10 times higher than the confirmed case count — a total of more than 20 million.” As Florida, Texas and Arizona become eipicenters!
POST 35. June 29, 2020. CORONAVIRUS. Pence: “We slowed the spread. We flattened the curve. We saved lives..” While Dr. Fauci “warned that outbreaks in the South and West could engulf the country…”
POST 36. July 2, 2020. CORONAVIRUS. “There’s just a handful of interventions proven to curb the spread of the coronavirus. One of them is contact tracing, and “it’s not going well,” (Dr. Anthony Fauci)..
POST 37. June 8, 2020. CORONAVIRUS. When “crews arrive at a hospital with a patient suspected of having COVID-19, the hospital may have a physical bed open for them, but not enough nurses or doctors to staff it.”
POST 38. July 15, 2020. CORONAVIRUS. Some Lessons Learned, or not. AdventHealth CEO Terry Shaw: I wouldn’t hesitate to go to Disney as a healthcare CEO — based on the fact that they’re working extremely hard to keep people safe,” (M)
POST 39. July, 23,2020. CORONAVIRUS. A Tale of Two Cities. Seattle becomes New York (rolls back reopening) while New York becomes Seattle (moves to partial phase 4 reopening)
POST 40. July 27, 2020. CORONAVIRUS.” One canon of medical practice is that you order a test only if you can act on the result. And with a turnaround time of a week or two, you cannot. What we have now is often not testing — it’s testing theater.”
POST 41. August 2, 2020. CORONAVIRUS. “Whenever a vaccine for the coronavirus becomes available, one thing is virtually certain: There won’t be enough to go around. That means there will be rationing.”
POST 44. September 1, 2020. CORONAVIRUS. “The CDC…modified its coronavirus testing guidelines…to exclude people who do not have symptoms of Covid-19.” (While Dr. Fauci was undergoing surgery.) A White House official said: “Everybody is going to catch this thing eventually..”
POST 45. September 9, 2020. CORONAVIRUS. Trump on Fauci. ‘You inherit a lot of people, and you have some you love, some you don’t. I like him. I don’t agree with him that often but I like him.’
POST 46. September 17, 2020. CORONAVIRUS. “Bill Gates used to think of the US Food and Drug Administration as the world’s premier public-health authority. Not anymore. And he doesn’t trust the Centers for Disease Control and Protection either….”
POST 47. September 24, 2020. CORONAVIRUS. “Perry N. Halkitis, dean of the School of Public Health at Rutgers University…called New York City’s 35 percent rate for eliciting contacts “very bad.” “For each person, you should be in touch with 75 percent of their contacts within a day,” he said”
POST 48. October 1, 2020. “…you can actually control the outbreak if you do the nonpharmaceutical interventions (social distancing and masks). In the United States we haven’t done them. We haven’t adhered to them; we’ve played with them.” (A)
POST 49. October 4, 2020. CORONAVIRUS. RAPID RESPONSE. “The possibility that the president and his White House entourage were traveling superspreaders is a nightmare scenario for officials in Minnesota, Ohio, New Jersey and Pennsylvania…”
POST 50. October 6, 2020. CORONAVIRUS. Monday October 5th will go down as one of the most fraught chapters in the history of American public Health (and national security).
POST 51. October 12, 2020. Rather than a hodge-podge of Emergency Use Authorizations, off-label “experimentation”, right-to-try arguments, and “politicized” compassionate use approvals maybe we need to designate REGIONAL EMERGING VIRUSES REFERRAL CENTERS (REVRCs).
POST 52. October 18, 2020. ZIKA/ EBOLA/ CANDIDA AURIS/ SEVERE FLU/ Tracking. “… if there was a severe flu pandemic, more than 33 million people could be killed across the world in 250 days… Boy, do we not have our act together.” —”- Bill Gates. July 1, 2018
POST 54. October 22, 2020. CORONAVIRUS. POST 54A. New Jersey’s Coronavirus response, led by Governor Murphy and Commissioner of Health Persichilli started with accelerated A+ traditional, evidence-based Public Health practices, developed over years of experience with seasonal flu, swine flu, Zika, and Ebola.
POST 55. October 26, 2020. CORONAVIRUS. The Testing Conundrum: “ It’s thus very possible to be antigen negative but P.C.R. positive, while still harboring the virus in the body..”
POST 57. November 3, 2020. CORONAVIRUS. Dr. Deborah Birx: the US is entering its “most deadly phase” yet, one that requires “much more aggressive action,”
POST 58. November 4, 2020. CORONAVIRUS. “…the president has largely shuttered the White House Coronavirus Task Force and doubled down on anti-science language…”
POST 59. November 5, 2020. Coronavirus. “The United States on Wednesday recorded over 100,000 new coronavirus cases in a single day for the first time since the pandemic began..
POST 61. November 7, 2020. CORONAVIRUS. “Joe Biden’s top priority entering the White House is fighting both the immediate coronavirus crisis and its complex long-term aftermath…” “Here are the key ways he plans to get US coronavirus cases under control.”
POST 62. November 8, 2020. CORONAVIRUS. “The United States reported its 10 millionth coronavirus case on Sunday, with the latest million added in just 10 days,…”
POST 63. November 9, 2020. CORONAVIRUS. “New York City-based Mount Sinai Health System has opened a center to help patients recovering from COVID-19 and to study the long-term impact of the disease….”
POST 64. November 10, 2020. CORONAVIRUS. “It works! Scientists have greeted with cautious optimism a press release declaring positive interim results from a coronavirus vaccine phase III trial — the first to report on the final round of human testing.”
POST 65. November 11, 2020. CORONAVIRUS, “The Centers for Disease Control and Prevention took a stronger stance in favor of masks on Tuesday, emphasizing that they protect the people wearing them, rather than just those around them…
POST 66. November.12, 2020. CORONAVIRUS.”… as the country enters what may be the most intense stage of the pandemic yet, the Trump administration remains largely disengaged.”… “President-elect Biden has formed a special transition team dedicated to coordinating the coronavirus response across the government…”
POST 67. November 13, 2020. CORONAVIRUS. “When all other options are exhausted, the CDC website says, workers who are suspected or confirmed to have COVID-19 (and “who are well enough to work”) can care for patients who are not severely immunocompromised — first for those who are also confirmed to have COVID-19, then those with suspected cases.”
POST 68. November 14, 2020. CORONAVIRUS. The CDC “now is hewing more closely to scientific evidence, often contradicting the positions of the Trump administration.”..” “A passenger aboard the first cruise ship to set sail in the Caribbean since the start of the pandemic has tested positive for coronavirus..”
POST 69. November 15, 2020. CORONAVIRUS. “Colorado Gov. Jared Polis will issue a new executive order outlining steps hospitals will need to take to ready themselves for a surge in COVID-19 hospitalizations and directing the hospitals to finalize plans for converting beds into ICU beds, adding staffing and scaling back on or eliminating elective procedures….
POST 70. November 16, 2020. CORONAVIRUS. “White House coronavirus task force member Dr. Atlas criticized Michigan’s new Covid-19 restrictions..urging people to “rise up” against the new public health measures.
POST 71. November 17, 2020. CORONAVIRUS. ”Hospitals overrun as U.S. reports 1 million new coronavirus cases in a week.” “But in Florida, where the number of coronavirus infections remains the third-highest in the nation, bars and schools remain open and restaurants continue to operate at full capacity.”
POST 72. November 18, 2020. CORONAVIRUS. “The Health and Human Services Department will not work with President-elect Joe Biden’s (PANDEMIC) team until the General Services Administration makes a determination that he won the election,….”
POST 73. November 19, 2020. CORONAVIRUS. “…officials at the CDC…urged Americans to avoid travel for Thanksgiving and to celebrate only with members of their immediate households…” When will I trust a vaccine? to the last question I always answer: When I see Tony Fauci take one….”
POST 74. November 20, 2020. CORONAVIRUS. Pfizer…submitted to the FDA for emergency use authorization for their coronavirus vaccine candidate. —FDA issued an EUA for the drug baricitinib, in combination with remdesivir, as WHO says remdesivir doesn’t do much of anything.
POST 75. November 21, 2020. CORONAVIRUS. “The president and CEO of one of the nation’s largest non-profit health systems says he won’t be wearing a mask at work because he’s recovered from COVID-19, and doing so would only be a “symbolic gesture” because he considers himself immune from the virus….
POST 76. November 23, 2020. CORONAVIRUS. “No battle plan survives contact with the enemy.” Ventilators..”just keep people alive while the people caring for them can figure out what’s wrong and fix the problem. And at the moment, we just don’t have enough of those people.”
POST 77. November 26, 2020. CORONAVIRUS. Pope Francis: “When I got really sick at the age of 21, I had my first experience of limit, of pain and loneliness.”.. “….Aug. 13, 1957. I got taken to a hospital…”….” I remember especially two nurses from this time.”…” They fought for me to the end, until my eventual recovery.”
POST 78. November 27, 2020. CORONAVIRUS. “Kelby Krabbenhoft is no longer president and CEO of Sioux Falls, S.D.-based Sanford Health.” “…for not wearing a face covering… “ because “He considered himself immune from the virus.”
POST 79. November 28, 2020. CORONAVIRUS. Mayo Clinic. “”Our surge plan expands into the garage…”..””Not where I’d want to put my grandfather or my grandmother,” … though it “may have to happen.”
POST 81. December 1, 2020. CORONAVIRUS. “Dr. Atlas, … who espoused controversial theories and rankled government scientists while advising President Trump on the coronavirus pandemic, resigned…”
POST 82. December 3, 2020. CORONAVIRIUS. The NBA jumped to the front of the line for Coronavirus testing….while front line nurses often are still waiting. Who will similarly “hijack” the vaccine?
POST 83. December 4, 2020. CORONAVIRUS. “California Gov. Gavin Newsom says he will impose a new, regional stay-at-home order for areas where capacity at intensive care units falls below 15%.”… East Tennessee –“This is the first time the health care capability benchmark has been in the red..”
POST 84. December 6, 2020. CPRONAVIRUS. “ More than 100,000 Americans are in the hospital with COVID-19…” “We’re seeing C.D.C. …awaken from (its) politics-induced coma…”…Dr. Fauci “to be a chief medical adviser in Biden’s incoming administration..”.. “Trump administration leaves states to grapple with how to distribute scarce vaccines..”
POST 85. December 7, 2020. CORONAVIRUS. “…Florida, Gov. DeSantis’ administration engaged in a pattern of spin and concealment that misled the public on the gravest health threat the state has ever faced..”.. “NY Gov. Cuomo said…the state will implement a barrage of new emergency actions..”… Rhode Island and Massachusetts open field hospitals… “Biden Names Health Team to Fight Pandemic”
POST 86. December 9, 2020. If this analysis seems a bit incomprehensible it is because “free Coronavirus test” is often an oxymoron! with charges ranging from as little as $23 to as much as $2,315… Laws (like for free Coronavirus tests) are Like Sausages. Better Not to See Them Being Made. (Please allow about 20 seconds for the text to download. Thanx!)
POST 87. December 10, 2020. CORONAVIRUS. “…Rudolph W. Giuliani, the latest member of President Trump’s inner circle to contract Covid-19, has acknowledged that he received at least two of the same drugs the president received. He even conceded that his “celebrity” status had given him access to care that others did not have.”
POST 88. December 11, 2020. CORONAVIRUS. “As COVID-19 cases surge, the federal government is releasing data about hospital capacity at facilities around the country….”The new data paints the picture of how a specific hospital is experiencing the pandemic,”…
PART 89. December 12, 2020. CORONAVIRUS. THE VACCINE!!! “Now this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning.” Winston Churchill
POST 90. December 14, 2020. CORONAVIRUS. “…the first doses of a Covid-19 vaccine have been given to the American public..”…” Each person who receives a vaccine needs two doses, and it’s up to states to allocate their share of vaccines.”
POST 91. December 15, 2020. CORONAVIRUS. “UPMC will first give (vaccination) priority to those in critical jobs. That includes a range of people working in critical units, from workers cleaning the emergency room and registering patients to doctors and nurses.. “Finally, if needed, UPMC will use a lottery to select who will be scheduled first.”
POST 92. December 17, 2020. CORONAVIRUS. “..each state — and each hospital system — has come up with its own (vaccination) plan and priorities. The result has been a sometimes confusing constellation of rules and groupings that has left health care workers wondering where they stand.” (Trump appointee July 4th email “…we need to establish herd, and it only comes about allowing the non-high risk groups expose themselves to the virus. PERIOD,”)
POST 93. December 19, 2020. CORONAVIRUS. On NPR Congresswoman Shalala (D-Florida) said she wouldn’t jump the vaccination line in Miami; then added she would get vaccinated in Washington this week. This, even though Congress has failed to pass “essential” Coronavirus legislation. So who are our “essential” workers?
POST 94. December 21, 2020. CORONAVIRUS. “A doctor at an L.A. County public hospital said the number of COVID-19 patients is “increasing exponentially, without an end in sight.”.. “I haven’t done ICU medicine since I was a resident — you don’t want me adjusting your ventilator,” he said. “That’s the challenge, actually — it isn’t so much space, it’s staff…”
POST 96. December 26, 2020. CORONAVIRUS. “Achieving herd immunity against the coronavirus could require as much as 90 percent of the population to be vaccinated, Anthony Fauci…”…”..he hesitated to state a number as high as 90% weeks ago because many Americans still seemed skeptical about vaccine….”
POST 97. December 27, 2020. “A new variant of the coronavirus that has been spreading through the UK and other countries has not yet been detected in the United States..”.. . But if new-wave medicines like antivirals and antibody therapy contributed to the development of viral variants, it will be “a reminder for all the medical community that we need to use these treatment options carefully.”
POST 99. December 29, 2020. CORONAVIRUS. “ICUs are being overwhelmed across many parts of California. Statewide aggregate ICU availability has been at 0% since Christmas Eve…. a surge on top of a surge on top of a surge.”… “hospitals are getting close to the point where they would begin putting COVID-positive patients under the care of COVID-positive staff who are asymptomatic.”
POST 100. December 29, 2020. CORONAVIRUS. Front line hospital workers – in the ER, ICUs, EMS, acute medical care, behavioral health – are amongst the most courageous, heroic and dedicated colleagues you will ever meet.
POST 101. December 30, 2020.CORONAVIRUS. Is there a point where the increasing Coronavirus trajectory so far exceeds the slow growth of the vaccination rate that reaching herd immunity through vaccinations becomes less likely?
POST 102. January 2, 2020. CORONAVIRUS. “We’ve taken the people with the least amount of resources and capacity and asked them to do the hardest part of the vaccination — which is actually getting the vaccines administered into people’s arms,” said Dr. Ashish Jha, the dean of Brown University’s School of Public Health. “Ultimately, the buck seems to stop with no one,”…
POST 103. January 4, 2021. CORONAVIRUS. Dr. Fauci said “that the United States would not follow Britain’s lead in front-loading first vaccine injections, potentially delaying the administration of second doses…Dr. Moore – ”British officials “seem to have abandoned science completely now and are just trying to guess their way out of a mess.”
POST 104. January 6, 2021. CORONAVIRUS. “Paramedics in Southern California are being told to conserve oxygen and not to bring patients to the hospital who have little chance of survival…”
POST 105. January 8, 2021. CORONAVIRUS. POST 105. January 8, 2021. CORONAVIRUS. “Facing a shortage of vaccinators, the Association of Immunization Managers… recommends relaxing regulation or adjusting licensing requirements. At least two states, Massachusetts and New York, have changed their laws in recent weeks to expand those who are eligible to give shots.”
POST 106. January 9, 2021. CORONAVIRUS. The riots at the Capitol could have been a superspreader event. “From what I saw… you had a large congregation of individuals who were in close contact for an extended period of time and almost universally unmasked…. many coming and going on buses as well, also unmasked, and hanging out in hotel lobbies.”
POST 107. January 8, 2021. CORONAVIRUS. “Our job is to make sure the vaccine isn’t politicized the way masks were politicized,” Rep. Alexandria Ocasio-Cortez, D-N.Y., said after getting her vaccine. South Carolina Rep.-elect Nancy Mace, a Republican, wrote that “Congress shouldn’t be putting themselves first in line for the COVID-19 vaccination when the average American can’t get it.”
POST 108. January 9, 2021. CORONAVIRUS. (vaccination)”Line-cutters will be named and shamed. It’s inevitable, as will be the congressional hearings and front-page investigative stories ferreting out who saved their own skin at the expense of others.”
POST 109.January 9, 2021. CORONAVIRUS. “President-elect Joe Biden will aim to release nearly every available dose of the coronavirus vaccine when he takes office, a break with the Trump administration’s strategy of holding back half of US vaccine production to ensure second doses are available.
POST 110. January 13, 2021. CORONAVIRUS. ““The (federal) government is changing the way it allocates Covid vaccine doses, now basing it on how quickly states can administer shots and the size of their elderly population.”… “New York State sent a letter to hospitals saying if they don’t use their vaccine allocations by the end of this week, they won’t receive any further allocations.”
POST 111. January 14, 2021. CORONAVIRUS. “Visitors from Toronto to New York to Buenos Aires have long flocked to Florida for sun, surf and shopping. Now they are coming for the Covid-19 vaccine….
POST 112. January 14, 2021. CORONAVIRUS. CHINA – “Eleven million people are under lockdown in Hebei province after a new cluster of coronavirus infections.
PART 113. January 17, 2021. CORONAVIRUS. The Next President Actually Has a Covid Plan… New York City and other places in the state expect to exhaust their supply of doses as early as next week… Charles Barkley said during the “NBA on TNT” broadcast that pro athletes should get the first round of the vaccine…..
POST 114. January 18, 2021. CORONAVIRUS. “When government programs that have been unattended, underfunded and bogged down by red tape suddenly have to meet a huge demand in a crisis, they can’t cope and people suffer….”
POST 115. January 21, 2020. CORONAVIRUS. A year ago today an unnumbered POST was headlined “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” The CORONAVIRUS CONTENT TRACKING PROJECT started with HISTORIOGRAPHY and over time moved to LESSONS LEARNED, RAPID RESPONSE, and THE VACCINATION PROGRAM. Now 115 POSTS later – the BIDEN CORONAVIRUS PLAN.
POST 116. January 22, 2021. President Biden – “We’re entering what may be the toughest and deadliest period of the virus. We must set aside politics and finally face this pandemic as one nation.”
POST 117. January 23, 2021. CORONAVIRUS. 1.Dr. Fauci:“The idea that you can get up here….”and.. let the science speak”… “It is somewhat of a liberating feeling.” 2.updated CDC guidance:”.. providers could give the second dose up to six weeks after the first dose..” 3.Dr. Fauci: people would be “taking a chance” if they follow the CDC’s updated guidance.
POST 118. January 24, 2021. CORONAVIRUS. “Unfortunately, we’ve let this virus spread extensively and are launching the vaccination campaign at the height of the threat,” Dr. Meyers said. “The more the virus spreads before the vaccine reaches people, the fewer deaths we can prevent with the vaccine.”
POST 119. January 27, 2010. CORONAVIRUS. Amazon is offering its help to President Joe Biden with the rollout of COVID-19 vaccines. Washington’s governor, Jay Inslee, included the help of companies like Starbucks, Costco and Microsoft in a plan to vaccinate 45,000 residents a day.
POST 120. January 28, 2021. CORONAVIRUS. “The fact that four vaccines backed by the federal government seem to be less effective against the (South African) B.1.351 variant has unsettled federal officials and vaccine experts alike. Facing this uncertainty, many researchers said it was imperative to get as many people vaccinated as possible — quickly. Lowering the rate of infection could thwart the contagious variants while they are still rare, and prevent other viruses from gaining new mutations that could cause more trouble.”
POST 121. January 30, 2021. CORONVIRUS. Will our communities become stratified by which vaccine is distributed? 95%ters v. 72%ters? Will the easier distribution of the J&J vaccine drive its inequitable distribution to” hard-hit, marginalized, and medically underserved communities.” (thanx! to XJ/LA)
POST 123. February 4, 2021. CORONAVIRUS. “Nursing homes across the country are facing the same struggle, as workers have been more reluctant than residents to be vaccinated…
POST 124. February 5, 2021. CORONAVIRUS. Dr. Osterholm ” …it may be time to..go with a ‘first-dose only’ approach, so more people over the age of 65 can have at least some protection right away. He said that would require delaying second doses until this summer.” Dr.Fauci “warned against this practice, and cautioned people about “the danger” that could come with focusing only on the first dose.”
POST 125. June 9, 2021. CORONAVIRUS. “States are rolling back Covid-19 restrictions as new cases trend down from record highs across the country. But experts warn it might be too much too soon as variants pose an increased risk and the pandemic… is far from over.”
POST 126. February 11, 2021. CORONAVIRUS. “There will be more coronavirus outbreaks in the future. Bats and other mammals are rife with strains and species of this abundant family of viruses. Some of these pathogens will inevitably spill over the species barrier and cause new pandemics. It’s only a matter of time.” (A)
POST 127. February 12, 2021. CORONAVIRUS. “… Trump only agreed to be hospitalized when aides told him that he could walk to Marine One or he could wait until his case progressed and he would be carried out.”
POST 128. February 14, 2021. CORONAVIRUS. “The Centers for Disease Control and Prevention released new research on Wednesday that found wearing a cloth mask over a surgical mask offers more protection against the coronavirus, as does tying knots on the ear loops of surgical masks…
POST 129. February 15, 2021, CORONAVIRUS. “ “The CDC released its much-anticipated, updated guidance to help school leaders decide how to safely bring students back into classrooms, or keep them there.”…” For politicians, parents and school leaders looking for a clear green light to reopen schools, this is not it.”
POST 130. February 16, 2021. CORONAVIRUS. “A second person who had contracted the Ebola virus died this week in the Democratic Republic of Congo, marking another outbreak just three months after the nation outlasted the virus’s second-worst outbreak in history…”
POST 131. February 17, 2021. CORONAVIRUS. “It really is right now – a race between how quickly new variants, particularly the U.K. variant, can spread in the United States and how quickly we can get people vaccinated”
POST 132. February 20, 2021. CORONAVIRUS. “In Texas, where over 2.5 million people are still without power, the state health department said this week’s vaccine shipments wouldn’t arrive until Wednesday at the earliest.”
POST 133. February 23, 2021. CORONAVIRUS. “Going off your meds is a surefire way to aggravate your doctor. What if a whole country did it?” The United Kingdom has veered into uncharted territory by changing tack and introducing a revised COVID-19 vaccination protocol, one that involves distributing the second dose at 12 weeks, rather than the prescribed 21 days.”
POST 134. February 24, 2021. CORONAVIRUS. The first tranche of the J&J (single dose) vaccine must go to K-12 teachers, so schools can open safely in the first 100 days of the Biden Administration. The federal government…”can set up its own vaccination centers in regions with eligible populations it’s trying to target.” We owe our front-line teachers nothing less!
POST 135. February 27, 2021. CORONAVIRUS. “As Chief Executive Officers of New York’s major health care systems, we would like to provide facts to clear up confusion in the public and the media regarding decisions to discharge patients to nursing homes during New York’s spring coronavirus surge.”
POST 136. March 2, 2021. CORONAVIRUS. ““The governors of Texas and Mississippi both announced on Tuesday they would be lifting their states’ mask mandates and rolling back many of their Covid-19 health mandates..”…while “The US could experience a “fourth surge” of coronavirus before the majority of the country is vaccinated.”
POST 137. March 4, 2021. CORONAVIRUS. “The clamor for hard-to-get Covid-19 vaccines has created armies of anxious Americans who have resorted to hunting for leftovers on the fringes of the country’s patchwork vaccination system. They haunt pharmacies at the end of the day in search of an extra, expiring dose. They drive from clinic to clinic hoping that someone was a no-show to their appointment. They cold-call pharmacies like eager telemarketers: Any extras today? Maybe tomorrow? Some pharmacists have even given them a nickname: vaccine lurkers.” (H)
POST 138. March 6, 2021. CORONAVIRUS. “New cases are decreasing in the third wave because we are past the holidays, not because of vaccinations. It is a common misconception that the decrease we are seeing in new cases, hospitalizations, and deaths in the U.S. is due to vaccinations. The two aren’t related; at least yet.”
POST 139. March 8, 2021. CORONAVIRUS. CDC Issues First Set of Guidelines on How Fully Vaccinated People Can Visit Safely with Others…” In practice, that means fully vaccinated grandparents may visit unvaccinated healthy adult children and healthy grandchildren of the same household without masks or physical distancing.” (C)
POST 140. March 9, 2021. CORONAVIRUS. “In West Virginia, they are bracing for the second wave….. Not coronavirus but opioid overdoses, with one scourge driving a resurgence of the other.
POST 141. March 11, 2021. CORONAVIRUS. Today is the first anniversary of the WHO declaration that the novel coronavirus was a Public Health Emergency of International Concern… “To truly prepare itself against the next pandemic, the U.S. has to reimagine what preparedness looks like.”
POST 142. March 15, 2021. CORONAVIRUS. “Candida auris is a superbug, a pathogen that can evade drugs made to kill it—and early signs suggest the COVID-19 pandemic may be propelling infections of the highly dangerous yeast. That’s because C. auris is particularly prominent in hospital settings, which have been flooded with people this year due to the coronavirus.”
POST 143. March 17, 2021. CORONAVIRUS. “The Trump administration sought to suppress Covid-19 testing in the United States last year by softening guidance from the Centers for Disease Control and Prevention on who needed to be tested, a House panel said Monday.”
POST 144. March 20, 2021. CORONAVIRUS. ““The vaccine hesitancy we are seeing isn’t just about Covid vaccines,”… “It is a general reflection of Americans’ lack of trust in science, the pharmaceutical industry, and large health care institutions. We need a full court press on science and vaccine education right now to prevent more aggressive Covid-19 variants from developing and taking hold.”
POST 145. March 25, 2021. CORONAVIRUS. “Efforts to disseminate Covid-19 vaccines as widely as possible are hitting an unexpected obstacle: health-care workers who decline the shots.
POST 146. March 30, 2021. CORONAVIRUS. Dr. Osterholm told Becker’s: “This is the perfect storm,”…”Here is Europe locking down and having problems containing B.1.1.7, even with vaccinations and previous infection histories. Here we are opening up as wide as we can. We are literally just walking into the mouth of the virus saying, ‘Don’t worry.’” (M)
POST 147. April 5, 2021. CORONAVIRUS. “The pandemic helped cement the shift to “a philosophy of really focusing on the role of the physician in reasoning through ambiguous and unknown problems as the focus of education, rather than teaching students that the role of physician was to memorize a body of knowledge that was already in existence and good enough for what usually happens.”
POST 148. April 7, 2021. CORONAVIRUS. While the Biden administration accelerates vaccinations to ward off numerous variants and as more young people are being hospitalized, states, even with increasing case rates are on paths to fully reopen. Politics v. public health!
POST 149. April 10, 2021. CORONAVIRIUS. “From Michigan to Massachusetts, COVID-19 cases and hospitalizations are on the rise again. Deaths will soon follow. “ ”.. the Biden administration is facing renewed calls to delay second vaccine doses and blanket more of the U.S. population with an initial shot.”
POST 150. April 10, 2021. CORONAVIRUS. “The use of so-called COVID-19 “vaccine passports” is quickly becoming a divisive issue across the US – with several states, including New York, embracing the idea, while others have already moved to ban them.”
POST 151. April 14, 2021. CORONAVIRUS. the J&J vaccination pause. “ Federal officials are concerned that doctors may not be trained to spot or treat the rare disorder if recipients of the vaccine develop symptoms of it…” “…a standard treatment for blood clots — use of an anticoagulant drug — could be dangerous or even fatal in such cases…”
POST 152. April 15, 2021. CORONAVIRUS. “The Chinese Center for Disease Control and Prevention’s director said Saturday authorities are considering mixing COVID-19 vaccines because the country’s domestically made doses “don’t have very high protection rates,”
POST 153. April 18, 2021. CORONAVIRUS. “At least 35 hospitals across Michigan were listed Thursday as nearing capacity and three were at full capacity for COVID-19 patients..”.. We can manufacture beds. We can open up beds. We can create entire wings of the hospital if we have to, but if we don’t have staff for those beds, we’ve got nothing.”..
POST 154. April 19, 2021. CORONAVIRUS. “Breakthrough infections, which occur when fully vaccinated people are infected by the pathogen that their shots were designed to protect against, are an entirely expected part of any vaccination process.” “Pfizer’s chief executive said that a third dose of the company’s Covid-19 vaccine was “likely” to be needed within a year of the initial two-dose inoculation — followed by annual vaccinations.”
POST 155. April 24, 2021. CORONAVIRUS. As the J&J vaccine pause is ended Senator Johnson said “The science tells us that vaccines are 95% effective. So if you have a vaccine, quite honestly, what do you care if your neighbor has one or not? I mean, what is it to you?”
POST 156. April 28, 2021. CORONAVIRUS. As CDC revises guidance on outdoor masking, Texas Governor Abbott says “the state is “very close” to herd immunity… despite acknowledging that he does not know what the herd immunity threshold is for the virus, an uncertainty echoed by the public health community.”
POST 157. April 25, 2021. CORONAVIRUS. Ohio hospitals; “We agreed in multiple conversations, there’s nothing in fighting a pandemic that creates a competitive advantage.”…
POST 158. May 5, 2021. CORONAVIRUS. . As populations get closer to herd immunity “ it may be helpful to introduce some nuance to what we mean by the term. Nationwide herd immunity. Regional herd immunity. Temporary herd immunity. Endemicity.”
POST 159. May 9, 2021. CORONAVIRUS. “Without deeper sharing of expertise in how to make vaccines…waiving patent obligations is unlikely to be a game-changer… Having access to the “recipe” certainly helps, but understanding how to put it together and produce it at scale is something else.”
POST 160. May 13, 2021.CORONAVIRUS. “The CDC acknowledged Friday that airborne spread of COVID-19 among people more than 6 feet apart “has been repeatedly documented.”” Meanwhile states relax or eliminate indoor dining restrictions. HUH?
POST 161. May 15, 2021. CORONAVIRUS. “Even if the spread of Covid-19 decreases enough to allow a return of most activities, there are some aspects of pandemic life that epidemiologists say will persist much longer. In particular, they say that masks are a norm that should continue, even if that view puts them at odds with the new C.D.C. guidance. More than 80 percent of them say people should continue to wear masks when indoors with strangers for at least another year, and outdoors in crowds.”
POST 162. May 21, 2021. CORONAVIRUS. “New Jersey Gov. Phil Murphy is refusing to lift his indoor mask mandate for vaccinated residents…” “…fully vaccinated residents in New York and Connecticut are no longer required to wear masks..”..” “California says it isn’t ready to follow the federal lead and unmask, at least for another month..”.. “..Texas Gov. Greg Abbott issued an executive order Tuesday prohibiting state governmental entities such as counties, public school districts, public health authorities and government officials from requiring mask wearing.”
POST 163. May 23, 2021. CORONAVIRUS. RWJBarnabas Health in New Jersey announced a mandate…saying supervisors and those of higher rank must get the vaccine by June 30. They will eventually require the system’s 35,000 employees to do the same.
“New Jersey Gov. Phil Murphy is refusing to lift his indoor mask mandate for vaccinated residents, putting the Democrat at odds with guidance from the Centers for Disease Control and Prevention and creating a fresh opening for Republicans looking to knock him off his perch as he campaigns for reelection.
With the state’s infection rate plummeting and Covid-19 hospitalizations a small fraction of where they stood last spring, New Jersey will soon be one of the only states — and alone among its neighbors in the Northeast — to require face coverings at restaurants, retailers and indoor venues.
New York Gov. Andrew Cuomo and Connecticut’s Ned Lamont will suspend mask mandates for vaccinated residents on Wednesday, the same day indoor capacity restrictions across the tri-state region are scheduled to be lifted. Pennsylvania has already shifted its guidance to match the CDC’s. Even Delaware, a frequent punching bag of New Jersey’s official Twitter account, plans to lift both indoor and outdoor mask mandates later this week.
Leaders across the region have largely moved in unison on major Covid-19 announcements, and Murphy’s delay isolates the self-proclaimed progressive on a critical facet of the reopening as he preps for a reelection campaign that will focus heavily on his management of the pandemic.
His decision to continue indoor masking puts him in the uncomfortable position of having to play defense against GOP attacks that utilize the same expert guidance he’d previously used to justify economic lockdowns.
“I don’t want to get burned. I don’t want to go back. We’re the only state in America that has not gone back once and i don’t want to start now,” Murphy said Monday during his regular Covid-19 briefing in Trenton. “I can’t speak for our neighbors, they’ve been great partners, but on this one we feel quite strongly.”
Murphy declined during his briefing to provide an exact timeline for when he might lift the mask restriction, but said during an appearance on CNN later in the day that it could come with “a couple of more weeks on the clock.”..
Like most public officials, Murphy had been caught off-guard when the CDC announced Thursday it was easing its mask guidance.
The governor suggested Monday he thought epidemiologists would continue to recommend face coverings for at least the next few months and, responding to a question from POLITICO, said he’d previously expected the next round of CDC guidelines to relax rules relating to social distancing, a move that would allow New Jersey restaurants and businesses to further expand capacity.
Though Murphy has relaxed several aspects of the state’s lockdown — schools will be back for full-time, in-person learning in the fall, travel advisories are being lifted, the public health state of emergency is set to expire and outdoor masking rules, in accordance with CDC guidelines, have been shucked — “we are not out of the woods yet,” he said.
“The majority of New Jerseyans are still unvaccinated and we’re not checking anyone vaccine’s status at the door,” he said. “I don’t know how we can expect workers to be able tell who’s vaccinated and who isn’t, and it is unfair to put the burden on businesses and frontline employees to police every patron.”
That former point is particularly true in communities that bore the brunt of infections during the pandemic’s first wave.
While New Jersey’s public health is improving — nearly 70 percent of its adult population has obtained at least one vaccine dose — uptake has been slow in several of the state’s largest cities. Fewer than a third of residents in cities like Camden, Elizabeth and Trenton are fully vaccinated. In Newark, the state’s largest city and home to a large Black and Latino population, less than half of all adults ages 18 and up have gotten their first dose…
Murphy said Monday the decision to hold off was “to protect the folks who are not yet vaccinated.” (A)
“Here are some of the reasons Murphy and state Health Commissioner Judith Persichilli gave for keeping the mask rules:..
More than 3.7 million people who live, work, or study in the Garden State have now been fully vaccinated at New Jersey sites, while another 165,700 residents have been vaccinated in other states.
The state has set a goal of having 70% of New Jersey’s adults vaccinated by the end of June. More than 54% of the state’s 6.9 million adults have been fully vaccinated so far, while kids as young as 12 are now eligible to receive shots.
About 40% of the state’s 9.2 million total population has been vaccinated, while about 4.6 million have received at least one dose at state sites.
By comparison, about 124 million Americans have been vaccinated — which is about 38% of the country’s 274 million total population.
But officials are still seeking to ramp up vaccinations in New Jersey as demand has decreased and many large municipalities have vaccination rates under 40%.
Murphy said keeping the mask mandate “is overwhelmingly an incentive to get vaccinated.”
NUMBERS ARE IMPROVING, BUT …
New Jersey has made “tremendous progress” in recent weeks against the virus, Murphy said Monday during his latest coronavirus briefing in Trenton.
The state’s seven-day average for new confirmed positive COVID-19 tests is now 711 — down 31% from a week ago and 76% from a month ago.
There were 810 COVID-19 patients hospitalized across the state as of Monday night — the lowest number since Oct. 19. Overall, coronavirus hospitalizations are down 79% since the state’s second-wave peak of 3,873 patients on Dec. 22.
But Murphy said it’s too soon to drop masks because “we need to know unequivocally that doing so will not lead to a backslide in our progress.”
“We think we have this thing on the run,” he said of the pandemic. “But when you’ve got it going in the right direction as we have it going now, the more time you can put on the clock, the higher chances are that you’re gonna drive this thing permanently into the ground.”
Persichilli also noted the state’s daily COVID-19 deaths are still in double digits. An early coronavirus hotspots, New Jersey has the most coronavirus deaths per capita among American states, largely driven by the early days of the pandemic, when the virus spread rapidly through the region.
The health commissioner also noted that the state has been seeing about 1,000 cases a day, though the number has been lower in recent days.
“We know we can drive these numbers down even further,” Perischilli said.
VARIANTS STILL SPREADING
Persichilli also noted there are still COVID-19 variants spreading and information on that is still “evolving.”
And officials said hospitalizations, while much lower, are still double what they were last August, when there was no vaccine.
“We do have reasons to remain vigilant,” Persichilli said. “This is a serious and unrelenting virus.”..
NO WAY OF PROVING VACCINATIONS
The CDC did not provide guidance on how people would prove they are vaccinated. It appears to be based on the honor system.
Murphy argued that it would be on businesses to determine who is vaccinated and not, and that’s not plausible or fair.
“We’re not checking anyone’s vaccine status at the door when you go to the supermarket or to a hardware store, for instance,” the governor said. “I don’t know how we can expect workers to tell who is vaccinated from who isn’t, and it is unfair to put the burden on business owners and frontline employees to police every patron.” (B)
“As of Wednesday, fully vaccinated residents in New York and Connecticut are no longer required to wear masks or stay 6 feet away from others in most settings, as a growing number of states follow the Centers for Disease Control and Prevention’s more relaxed mask guidelines.
But that decision is putting people at risk, warns Dr. Natasha Kathuria, an emergency medicine physician, who says there is no efficient way to verify who is vaccinated and who is not.
“We’re really depending on an honor system,” Kathuria told Yahoo Finance Live. “There’s no way to ensure that the people removing their masks are vaccinated or not.”
“We really want people to still be cautious. This is not the time to completely let your guard down while things are improving and looking great,” added Kathuria.
Many states immediately relaxed mask mandates following the CDC’s updated guidance, while others, including California, Maine and Massachusetts said they plan to rescind their face covering orders soon.
However, states still have the authority to uphold existing mask mandates if they choose and, so far, New Jersey is the only state with no plans to lift its mandate for fully vaccinated people indoors.”” (C)
“State lawmakers on Tuesday began advancing a plan that would end New Jersey’s public-health emergency over the coronavirus but allow Gov. Phil Murphy’s administration to retain many powers to keep battling the pandemic through the end of this year — including overseeing masking and social distancing rules…
Murphy said he would allow the order to end next month if the Legislature passed a bill allowing his administration to retain some “tools” to keep protecting the state and rolling out vaccinations “in order to continue on the path to normalcy.”
The public-health emergency — which Murphy has extended each month since last March — has allowed the governor to issue dozens of executive orders, including capacity restrictions on businesses and masking mandates, without input from lawmakers…
Murphy’s “most recent” orders on masking and social distancing. The governor can ease these orders but tighten them only if the state’s rate of transmission reaches 1 or higher, hospitalizations increase, or statewide test positivity increases. Currently, the state has lifted its outdoor mandate but is still requiring masks indoors in public, though Murphy said that could change in the coming weeks.
But it doesn’t immediately wipe away all the restrictions the governor put in place. Instead, it keeps 15 of the orders until Jan. 1, 2022. Those include:
A moratorium on evictions during the crisis.
A moratorium on insurance companies canceling policies for those who don’t pay.
A moratorium on utility shutoffs for those who don’t pay.
Expanded outdoor dining at restaurants.
A requirement that health-care facilities give the state daily data reports.
Workplace safety protocols, including temperature checks and masking rules.
Protocols at summer youth camps.
Shielding federal stimulus payments from wage garnishment.
Murphy’s administration also keeps powers over vaccination distribution, testing, and data collection.
The governor can revoke or alter any of the 15 remaining orders before Jan. 1…
This all comes as more than 3.7 million people who live, work, or study in the Garden State have now been fully vaccinated at New Jersey sites, while another 165,700 residents have been vaccinated in other states.
The state has set a goal of having 70% of New Jersey’s adults vaccinated by the end of June. More than 54% of the state’s 6.9 million adults have been fully vaccinated so far, while kids as young as 12 are now eligible to receive shots.
The state’s seven-day average for new confirmed positive COVID-19 tests is now 711 — down 31% from a week ago and 76% from a month ago.
There were 810 COVID-19 patients hospitalized across the state as of Monday night — the lowest number since Oct. 19. Overall, coronavirus hospitalizations are down 79% since the state’s second-wave peak of 3,873 patients on Dec. 22.” (D)
“California says it isn’t ready to follow the federal lead and unmask, at least for another month. The state’s health director announced Monday that California will require people to keep wearing masks and practice social distancing indoors until June 15, when Governor Gavin Newsom had already said nearly all COVID-19 restrictions will be dropped if cases remain low.
The nation’s most populous state needs more time before it will follow the lead of many other states and allow fully vaccinated people to skip face coverings and socially distancing in virtually all situations, officials said.
People and businesses must adjust to the changes while the state continues its “relentless focus on delivering vaccines, particularly in underserved communities and those that were hard hit throughout this pandemic,” Health and Human Services Secretary Dr. Mark Ghaly said Monday…
The shifting ground of mask-wearing advice has confused and frustrated some Californians who only a few weeks ago were told that that people who are fully vaccinated don’t need to wear masks outdoors unless they’re at crowded gatherings…
Most of the 58 counties in California – including gigantic Los Angeles, Orange and San Diego – are heeding the state’s masking schedule.
L.A. County Supervisor Hilda Solis said the county will use the extra month to fully vaccinate more people. “More than half of our adult population remains vulnerable,” she said.
Both the CDC and state plan to keep the mask requirement in place for students for the rest of the calendar year…
Businesses are expected to adhere to the state’s guidelines, Ghaly said, but some trade group leaders feared the differing federal and state mask requirements will sow confusion.
It is difficult already for business owners to play “mask cop,” said John Kabateck, director of the California chapter of the National Federation of Independent Businesses. “We hope that they will not be vulnerable to penalties and scrutiny by state regulators or plaintiffs’ attorneys because they’re trying to make sense of this labyrinth.”
Still, Kabateck said he was generally supportive of the state’s decision.
“If wearing masks for a little bit longer is an ounce of prevention that’s going to let mom-and-pops reopen their doors and get people back to work, that’s a step in the right direction,” he said.
After becoming the epicenter for the virus in the U.S. at the start of the year, California has seen a precipitous decline. The state positivity rate among those tested has fallen below 1%, officials said Monday, and more than 34.5 million doses of vaccine have been administered as the state approaches the full reopening of its economy…
Forty-seven counties, which account for most of the population, are in the orange and yellow tiers of California’s COVID-19 system, which are the least restrictive. Orange County could move into the yellow tier on Wednesday, which would increase customer capacity for gyms and some other businesses and allow bars to reopen indoors.
Eleven counties remain in the second-highest red tier, where COVID-19 risk is considered substantial, but they represent only around 11% of the population.
The tiers are based on cases, positivity rate and on vaccination figures. Newsom has indicated California will do away with the system in mid-June.” (E)
“Republican Texas Gov. Greg Abbott issued an executive order Tuesday prohibiting state governmental entities such as counties, public school districts, public health authorities and government officials from requiring mask wearing.
“Texans, not government, should decide their best health practices, which is why masks will not be mandated by public school districts or government entities. We can continue to mitigate COVID-19 while defending Texans’ liberty to choose whether or not they mask up,” Abbott said in a news release.
The executive order allows public schools to continue current mask-wearing guidelines through June 4; however, after June 4, no student, teacher, parent or staff member can be required to wear a mask on school grounds, according to the order.
Local governments or officials attempting to impose a mask mandate can be subject to a fine of up to $1,000, beginning May 21, according to the news release.
The order, however, exempts state-supported living centers, government-owned or operated hospitals, state department of justice facilities and county and municipal jails, according to the release.
The governor’s order comes less than a week after the US Centers for Disease Control and Prevention released updated guidance allowing vaccinated people to be both outdoors and indoors without masks in most cases. Other states have moved to roll back mask mandates in recent weeks, with New York, California and Michigan announcing that they would lift such requirements.
Texas lifted its statewide mask mandate on March 2. A week later, Texas businesses of all types were allowed to open to 100% capacity.” (F)
POST 112. January 14, 2021. CORONAVIRUS. CHINA – “Eleven million people are under lockdown in Hebei province after a new cluster of coronavirus infections.
PART 113. January 17, 2021. CORONAVIRUS. The Next President Actually Has a Covid Plan… New York City and other places in the state expect to exhaust their supply of doses as early as next week… Charles Barkley said during the “NBA on TNT” broadcast that pro athletes should get the first round of the vaccine…..
POST 114. January 18, 2021. CORONAVIRUS. “When government programs that have been unattended, underfunded and bogged down by red tape suddenly have to meet a huge demand in a crisis, they can’t cope and people suffer….”
POST 115. January 21, 2020. CORONAVIRUS. A year ago today an unnumbered POST was headlined “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” The CORONAVIRUS CONTENT TRACKING PROJECT started with HISTORIOGRAPHY and over time moved to LESSONS LEARNED, RAPID RESPONSE, and THE VACCINATION PROGRAM. Now 115 POSTS later – the BIDEN CORONAVIRUS PLAN.
POST 116. January 22, 2021. President Biden – “We’re entering what may be the toughest and deadliest period of the virus. We must set aside politics and finally face this pandemic as one nation.”
POST 117. January 23, 2021. CORONAVIRUS. 1.Dr. Fauci:“The idea that you can get up here….”and.. let the science speak”… “It is somewhat of a liberating feeling.” 2.updated CDC guidance:”.. providers could give the second dose up to six weeks after the first dose..” 3.Dr. Fauci: people would be “taking a chance” if they follow the CDC’s updated guidance.
POST 118. January 24, 2021. CORONAVIRUS. “Unfortunately, we’ve let this virus spread extensively and are launching the vaccination campaign at the height of the threat,” Dr. Meyers said. “The more the virus spreads before the vaccine reaches people, the fewer deaths we can prevent with the vaccine.”
POST 119. January 27, 2010. CORONAVIRUS. Amazon is offering its help to President Joe Biden with the rollout of COVID-19 vaccines. Washington’s governor, Jay Inslee, included the help of companies like Starbucks, Costco and Microsoft in a plan to vaccinate 45,000 residents a day.
POST 120. January 28, 2021. CORONAVIRUS. “The fact that four vaccines backed by the federal government seem to be less effective against the (South African) B.1.351 variant has unsettled federal officials and vaccine experts alike. Facing this uncertainty, many researchers said it was imperative to get as many people vaccinated as possible — quickly. Lowering the rate of infection could thwart the contagious variants while they are still rare, and prevent other viruses from gaining new mutations that could cause more trouble.”
POST 121. January 30, 2021. CORONVIRUS. Will our communities become stratified by which vaccine is distributed? 95%ters v. 72%ters? Will the easier distribution of the J&J vaccine drive its inequitable distribution to” hard-hit, marginalized, and medically underserved communities.” (thanx! to XJ/LA)
POST 123. February 4, 2021. CORONAVIRUS. “Nursing homes across the country are facing the same struggle, as workers have been more reluctant than residents to be vaccinated…
POST 124. February 5, 2021. CORONAVIRUS. Dr. Osterholm ” …it may be time to..go with a ‘first-dose only’ approach, so more people over the age of 65 can have at least some protection right away. He said that would require delaying second doses until this summer.” Dr.Fauci “warned against this practice, and cautioned people about “the danger” that could come with focusing only on the first dose.”
POST 125. June 9, 2021. CORONAVIRUS. “States are rolling back Covid-19 restrictions as new cases trend down from record highs across the country. But experts warn it might be too much too soon as variants pose an increased risk and the pandemic… is far from over.”
POST 126. February 11, 2021. CORONAVIRUS. “There will be more coronavirus outbreaks in the future. Bats and other mammals are rife with strains and species of this abundant family of viruses. Some of these pathogens will inevitably spill over the species barrier and cause new pandemics. It’s only a matter of time.” (A)
POST 127. February 12, 2021. CORONAVIRUS. “… Trump only agreed to be hospitalized when aides told him that he could walk to Marine One or he could wait until his case progressed and he would be carried out.”
POST 128. February 14, 2021. CORONAVIRUS. “The Centers for Disease Control and Prevention released new research on Wednesday that found wearing a cloth mask over a surgical mask offers more protection against the coronavirus, as does tying knots on the ear loops of surgical masks…
POST 129. February 15, 2021, CORONAVIRUS. “ “The CDC released its much-anticipated, updated guidance to help school leaders decide how to safely bring students back into classrooms, or keep them there.”…” For politicians, parents and school leaders looking for a clear green light to reopen schools, this is not it.”
POST 130. February 16, 2021. CORONAVIRUS. “A second person who had contracted the Ebola virus died this week in the Democratic Republic of Congo, marking another outbreak just three months after the nation outlasted the virus’s second-worst outbreak in history…”
POST 131. February 17, 2021. CORONAVIRUS. “It really is right now – a race between how quickly new variants, particularly the U.K. variant, can spread in the United States and how quickly we can get people vaccinated”
POST 132. February 20, 2021. CORONAVIRUS. “In Texas, where over 2.5 million people are still without power, the state health department said this week’s vaccine shipments wouldn’t arrive until Wednesday at the earliest.”
POST 133. February 23, 2021. CORONAVIRUS. “Going off your meds is a surefire way to aggravate your doctor. What if a whole country did it?” The United Kingdom has veered into uncharted territory by changing tack and introducing a revised COVID-19 vaccination protocol, one that involves distributing the second dose at 12 weeks, rather than the prescribed 21 days.”
POST 134. February 24, 2021. CORONAVIRUS. The first tranche of the J&J (single dose) vaccine must go to K-12 teachers, so schools can open safely in the first 100 days of the Biden Administration. The federal government…”can set up its own vaccination centers in regions with eligible populations it’s trying to target.” We owe our front-line teachers nothing less!
POST 135. February 27, 2021. CORONAVIRUS. “As Chief Executive Officers of New York’s major health care systems, we would like to provide facts to clear up confusion in the public and the media regarding decisions to discharge patients to nursing homes during New York’s spring coronavirus surge.”
POST 136. March 2, 2021. CORONAVIRUS. ““The governors of Texas and Mississippi both announced on Tuesday they would be lifting their states’ mask mandates and rolling back many of their Covid-19 health mandates..”…while “The US could experience a “fourth surge” of coronavirus before the majority of the country is vaccinated.”
POST 137. March 4, 2021. CORONAVIRUS. “The clamor for hard-to-get Covid-19 vaccines has created armies of anxious Americans who have resorted to hunting for leftovers on the fringes of the country’s patchwork vaccination system. They haunt pharmacies at the end of the day in search of an extra, expiring dose. They drive from clinic to clinic hoping that someone was a no-show to their appointment. They cold-call pharmacies like eager telemarketers: Any extras today? Maybe tomorrow? Some pharmacists have even given them a nickname: vaccine lurkers.” (H)
POST 138. March 6, 2021. CORONAVIRUS. “New cases are decreasing in the third wave because we are past the holidays, not because of vaccinations. It is a common misconception that the decrease we are seeing in new cases, hospitalizations, and deaths in the U.S. is due to vaccinations. The two aren’t related; at least yet.”
POST 139. March 8, 2021. CORONAVIRUS. CDC Issues First Set of Guidelines on How Fully Vaccinated People Can Visit Safely with Others…” In practice, that means fully vaccinated grandparents may visit unvaccinated healthy adult children and healthy grandchildren of the same household without masks or physical distancing.” (C)
POST 140. March 9, 2021. CORONAVIRUS. “In West Virginia, they are bracing for the second wave….. Not coronavirus but opioid overdoses, with one scourge driving a resurgence of the other.
POST 141. March 11, 2021. CORONAVIRUS. Today is the first anniversary of the WHO declaration that the novel coronavirus was a Public Health Emergency of International Concern… “To truly prepare itself against the next pandemic, the U.S. has to reimagine what preparedness looks like.”
POST 142. March 15, 2021. CORONAVIRUS. “Candida auris is a superbug, a pathogen that can evade drugs made to kill it—and early signs suggest the COVID-19 pandemic may be propelling infections of the highly dangerous yeast. That’s because C. auris is particularly prominent in hospital settings, which have been flooded with people this year due to the coronavirus.”
POST 143. March 17, 2021. CORONAVIRUS. “The Trump administration sought to suppress Covid-19 testing in the United States last year by softening guidance from the Centers for Disease Control and Prevention on who needed to be tested, a House panel said Monday.”
POST 144. March 20, 2021. CORONAVIRUS. ““The vaccine hesitancy we are seeing isn’t just about Covid vaccines,”… “It is a general reflection of Americans’ lack of trust in science, the pharmaceutical industry, and large health care institutions. We need a full court press on science and vaccine education right now to prevent more aggressive Covid-19 variants from developing and taking hold.”
POST 145. March 25, 2021. CORONAVIRUS. “Efforts to disseminate Covid-19 vaccines as widely as possible are hitting an unexpected obstacle: health-care workers who decline the shots.
POST 146. March 30, 2021. CORONAVIRUS. Dr. Osterholm told Becker’s: “This is the perfect storm,”…”Here is Europe locking down and having problems containing B.1.1.7, even with vaccinations and previous infection histories. Here we are opening up as wide as we can. We are literally just walking into the mouth of the virus saying, ‘Don’t worry.’” (M)
POST 147. April 5, 2021. CORONAVIRUS. “The pandemic helped cement the shift to “a philosophy of really focusing on the role of the physician in reasoning through ambiguous and unknown problems as the focus of education, rather than teaching students that the role of physician was to memorize a body of knowledge that was already in existence and good enough for what usually happens.”
POST 148. April 7, 2021. CORONAVIRUS. While the Biden administration accelerates vaccinations to ward off numerous variants and as more young people are being hospitalized, states, even with increasing case rates are on paths to fully reopen. Politics v. public health!
POST 149. April 10, 2021. CORONAVIRIUS. “From Michigan to Massachusetts, COVID-19 cases and hospitalizations are on the rise again. Deaths will soon follow. “ ”.. the Biden administration is facing renewed calls to delay second vaccine doses and blanket more of the U.S. population with an initial shot.”
POST 150. April 10, 2021. CORONAVIRUS. “The use of so-called COVID-19 “vaccine passports” is quickly becoming a divisive issue across the US – with several states, including New York, embracing the idea, while others have already moved to ban them.”
POST 151. April 14, 2021. CORONAVIRUS. the J&J vaccination pause. “ Federal officials are concerned that doctors may not be trained to spot or treat the rare disorder if recipients of the vaccine develop symptoms of it…” “…a standard treatment for blood clots — use of an anticoagulant drug — could be dangerous or even fatal in such cases…”
POST 152. April 15, 2021. CORONAVIRUS. “The Chinese Center for Disease Control and Prevention’s director said Saturday authorities are considering mixing COVID-19 vaccines because the country’s domestically made doses “don’t have very high protection rates,”
POST 153. April 18, 2021. CORONAVIRUS. “At least 35 hospitals across Michigan were listed Thursday as nearing capacity and three were at full capacity for COVID-19 patients..”.. We can manufacture beds. We can open up beds. We can create entire wings of the hospital if we have to, but if we don’t have staff for those beds, we’ve got nothing.”..
POST 154. April 19, 2021. CORONAVIRUS. “Breakthrough infections, which occur when fully vaccinated people are infected by the pathogen that their shots were designed to protect against, are an entirely expected part of any vaccination process.” “Pfizer’s chief executive said that a third dose of the company’s Covid-19 vaccine was “likely” to be needed within a year of the initial two-dose inoculation — followed by annual vaccinations.”
POST 155. April 24, 2021. CORONAVIRUS. As the J&J vaccine pause is ended Senator Johnson said “The science tells us that vaccines are 95% effective. So if you have a vaccine, quite honestly, what do you care if your neighbor has one or not? I mean, what is it to you?”
POST 156. April 28, 2021. CORONAVIRUS. As CDC revises guidance on outdoor masking, Texas Governor Abbott says “the state is “very close” to herd immunity… despite acknowledging that he does not know what the herd immunity threshold is for the virus, an uncertainty echoed by the public health community.”
POST 157. April 25, 2021. CORONAVIRUS. Ohio hospitals; “We agreed in multiple conversations, there’s nothing in fighting a pandemic that creates a competitive advantage.”…
POST 158. May 5, 2021. CORONAVIRUS. . As populations get closer to herd immunity “ it may be helpful to introduce some nuance to what we mean by the term. Nationwide herd immunity. Regional herd immunity. Temporary herd immunity. Endemicity.”
POST 159. May 9, 2021. CORONAVIRUS. “Without deeper sharing of expertise in how to make vaccines…waiving patent obligations is unlikely to be a game-changer… Having access to the “recipe” certainly helps, but understanding how to put it together and produce it at scale is something else.”
POST 160. May 13, 2021.CORONAVIRUS. “The CDC acknowledged Friday that airborne spread of COVID-19 among people more than 6 feet apart “has been repeatedly documented.”” Meanwhile states relax or eliminate indoor dining restrictions. HUH?
POST 161. May 15, 2021. CORONAVIRUS. “Even if the spread of Covid-19 decreases enough to allow a return of most activities, there are some aspects of pandemic life that epidemiologists say will persist much longer. In particular, they say that masks are a norm that should continue, even if that view puts them at odds with the new C.D.C. guidance. More than 80 percent of them say people should continue to wear masks when indoors with strangers for at least another year, and outdoors in crowds.”
POST 162. May 21, 2021. CORONAVIRUS. “New Jersey Gov. Phil Murphy is refusing to lift his indoor mask mandate for vaccinated residents…” “…fully vaccinated residents in New York and Connecticut are no longer required to wear masks..”..” “California says it isn’t ready to follow the federal lead and unmask, at least for another month..”.. “..Texas Gov. Greg Abbott issued an executive order Tuesday prohibiting state governmental entities such as counties, public school districts, public health authorities and government officials from requiring mask wearing.”
“New Jersey’s mask mandate requiring residents to wear face coverings indoors won’t be relaxed yet, Gov. Phil Murphy said Friday….”I would guess in a matter of weeks we’ll get to the point where we can comfortably say inside, no matter what, you’re OK,”
for links to POST 1-161 in chronological order, highlight and click on
“Eight members of the New York Yankees have tested positive for coronavirus this week despite being inoculated with the Johnson & Johnson vaccine, the baseball team said Thursday.” “The Yankees have called all eight instances “breakthrough positives.”
PREQUEL
POST 160. May 13, 2021.CORONAVIRUS. “The CDC acknowledged Friday that airborne spread of COVID-19 among people more than 6 feet apart “has been repeatedly documented.”” Meanwhile states relax or eliminate indoor dining restrictions. HUH?
“Americans who are fully vaccinated can go without masks or physical distancing in many cases, even when they are indoors or in large groups, federal officials said Thursday, paving the way for a full reopening of society.
The change represents a huge shift symbolically and practically for pandemic-weary Americans, millions of whom have lived with the restrictions for more than a year. A growing number have complained they cannot do more even after being fully vaccinated and criticized the Centers for Disease Control and Prevention for being overly cautious. More than 154 million Americans have had at least one shot and 117 million are fully vaccinated, about 35 percent of the population.
“We have all longed for this moment when we can get back to some sense of normalcy,” CDC Director Rochelle Walensky said at a briefing. “Based on the continuing downward trajectory of cases, the scientific data on the performance of our vaccines and our understanding of how the virus spreads, that moment has come for those who are fully vaccinated.”
Walensky cited a growing body of real-world evidence demonstrating the efficacy of the coronavirus vaccines and noted the shots offer protection even against more contagious variants circulating in the United States. She also noted the rarity of breakthrough infections in those who are fully vaccinated and the lesser severity of the relatively few infections that have occurred.
She did leave open the possibility that the restrictions could return should the pandemic worsen. “This past year has shown us that this virus can be unpredictable,” she said.
The relaxation of masking does not apply to airplanes, buses, trains and other public transportation, to health-care settings, or where state or local restrictions still require them, Walensky said. Officials also noted that some business settings may require masks, especially since some workers may remain unvaccinated.
Masks are still required in planes, trains and buses despite the loosened CDC guidelines
The CDC director urged those who are immune-compromised to speak with their doctors before giving up their masks, and said that those who are not vaccinated remain at risk for mild or severe illness and death and should still wear masks.
“The science is … very clear about unvaccinated people,” she said. “You remain at risk of mild or severe illness or death or spreading the disease to others. You should still mask and you should get vaccinated right away.”..
“This is a day that I think will be marked as a true turning point in the pandemic in the United States,” said Richard Besser, former acting director of the CDC and president and chief executive of the Robert Wood Johnson Foundation. “The idea that people who are fully vaccinated can take off their masks, can go outside, can go inside, be around people and not have to worry about covid anymore, that’s absolutely huge.”” (A)
NPR’s Ailsa Chang talks with CDC Director Dr. Rochelle Walensky about the new guidance that fully vaccinated people don’t need masks indoors and how the Pfizer vaccine is now available to kids 12-15…
WALENSKY: So I think that there are several things that we have been following as we think about updating our guidance. The first is in the last two weeks, our cases are down in this country by about a third. The second is we now really do have an opportunity across this country for anyone who wants a vaccine to get it. We expanded that opportunity yesterday for 12- to 15-year-olds, which made 17 million more people eligible for a vaccine. We don’t have vaccine shortages. We have opportunities for people to find where they can get vaccinated. And really, everybody who wants a vaccine at this point has access to one…
But then thirdly is there has been evolving science. So really, over the last several weeks and even some studies released in the last week or so have demonstrated important things related to vaccination. One is that the vaccine is working in the public in the same way it worked in the clinical trials, that the effectiveness in real-world studies is very similar, over 90%, as it was in the clinical trials. And so that’s really terrific news.
The second is that it’s working against the variants that we have circulating in this country. So we saw that in the lab, but we have also seen it in now studies that were published just this past week in the New England Journal, that the vaccines are working against the B.1.1.7 variant, the B.1.351 variant. And then thirdly, there’s emerging data that has demonstrated that if you are vaccinated, you generally don’t get asymptomatic infection and generally cannot transmit to other people. Certainly, there are exceptions for all of these. But for the most part, the vaccine is – once you’re vaccinated, you can’t transmit to others.” (B)
“At the very beginning of the pandemic, the C.D.C.’s position was that most ordinary people did not need to wear masks unless they were sick and coughing. At the time, there was limited understanding that the virus was airborne and could be transmitted by people who were asymptomatic, and there was also a concern that recommending masks would worsen an N95 mask shortage for health care workers.
But the C.D.C.’s position quickly shifted.
By April 2020, the C.D.C. urged all Americans to wear a mask when they left their homes.
The guidance kept changing throughout the pandemic. For example, the agency first said that wearing masks protected others, not the wearer. By November, officials went a step further, saying masks benefited the people who wear them, in addition to those around them.
With vaccinations ramping up, the C.D.C. began to loosen its guidance last month, advising that fully vaccinated people could remove their masks in many situations outdoors, where the virus spreads less easily.
Then on Thursday, the C.D.C. announced that the relaxed rules also applied indoors.” (H)
“The trends are all going down because vaccines are making a big difference,” said Dr. Isaac Weisfuse, a medical epidemiologist at Cornell University and former New York City deputy health commissioner. “The fewer people you have who are susceptible, the more likely the trends will keep going down.”
In the U.S., the number of newly reported Covid-19 cases, hospitalizations and deaths are all decreasing. The most recent seven-day average for new cases fell about 23 percent over the previous week, Walensky said. The seven-day average for daily deaths also declined to 587 per day, according to the CDC.
“Today, Covid-19 deaths are at the lowest point since April 2020,” Andy Slavitt, the White House Covid-19 adviser, said Thursday in a news briefing.
These statistics help reinforce that the vaccines are working — and working well, said Dr. Monica Gandhi, an infectious disease physician and professor of medicine at the University of California, San Francisco.
“It’s like we reached a tipping point in terms of the weight of the evidence showing that these are profoundly effective vaccines, beyond our wildest dreams, and they’re really good at blocking transmission,” Gandhi said.
The change in recommendations was overdue, according to Dr. David Dowdy, an associate professor of infectious disease epidemiology at the Johns Hopkins Bloomberg School of Public Health.
“I think part of the problem before this was that there was something of a mixed message: The vaccines are very effective, but you still have to wear a mask,” Dowdy said. “This is now a strong statement that we know these vaccines work, and for those who are fully vaccinated, it’s appropriate to take some steps toward living life a bit more normally.” (C)
“Covid-19 cases are decreasing in the United States, and masks are no longer required everywhere, but the pandemic is not over — and won’t be until younger children can also be vaccinated, epidemiologists said in a new survey by The New York Times.
The true end of the pandemic — when it becomes safer to return to most activities without precautions — will arrive once at least 70 percent of Americans of all ages are vaccinated, they said. Adolescents just began receiving vaccines this week, and those for children younger than 12 are not yet approved.
“Children are key to ending the pandemic,” said David Celentano, the chair of epidemiology at Johns Hopkins University and one of the 723 epidemiologists who participated in the survey this month.
They are optimistic this will happen, even if not as quickly as many Americans hope. In five years, they expect Covid-19 will be more like the flu, circulating at a lower rate and with some deaths every year — but no longer a public health crisis necessitating lockdowns…
Still, the campaign to vaccinate more Americans cannot let up until children are protected, they said. Half of respondents said at least 80 percent of Americans, including children, would need to be vaccinated before it would be safe to do most activities without precautions. Though children are less likely than adults to develop severe cases of Covid-19, the scientists said their immunity was important because they could be hosts for the virus and a way for it to continue to circulate or develop new variants.
“Children cannot be left out of the equation as we reopen,” said Corinne McDaniels-Davidson, the director of the San Diego State University Institute for Public Health. “The ideas that they cannot transmit Covid or are immune from disease are pervasive among the lay public. We need education here.”
In assessing when the acute phase of the Covid pandemic could be considered over, they said vaccinations were more relevant than other metrics like new cases, hospitalizations or deaths (because an effective vaccination campaign would lower those rates, they said).
The country is not there yet. Nationwide, 36 percent of Americans are fully vaccinated, and the pace of vaccinations has slowed….
Even if the spread of Covid-19 decreases enough to allow a return of most activities, there are some aspects of pandemic life that epidemiologists say will persist much longer.
In particular, they say that masks are a norm that should continue, even if that view puts them at odds with the new C.D.C. guidance. More than 80 percent of them say people should continue to wear masks when indoors with strangers for at least another year, and outdoors in crowds.” (D)
“The agency, however, came under sharp criticism for its quick turnabout. Just six weeks ago, CDC Director Dr. Rochelle Walensky was warning of “impending doom” as daily Covid-19 cases in the U.S. began to rise again. And many health and business leaders say the new recommendations were too ambiguous. It requires essential workers to police vaccination records and will be difficult to enforce.
“Under current plans, it will be impossible to enforce in most settings,” Dr. Peter Chin-Hong, an infectious disease physician at the University of California San Francisco, told CNBC. “Businesses, schools and event organizers may still have purview in requiring evidence of vaccination prior to inclusion in specific communities or events, but for other everyday events there will be no enforcement in the way of vaccine passports or QR codes as done in other countries.”
There are some instances where fully vaccinated people still need to wear masks: traveling by plane, bus or train as well as in certain places such as hospitals, nursing homes, prisons or at establishments that require them, the agency said. The CDC’s guidance also isn’t mandatory. States, municipalities and businesses can decide whether or not they want to follow it, increasing confusion for many business owners and employees.
Some health and law experts told CNBC it would further complicate public health efforts to end the pandemic, adding it is “nearly impossible” to police the use of face masks because there is no way to know who is vaccinated and who isn’t. More than half of the population still haven’t gotten the shots, they said, risking more outbreaks from unmasked, unvaccinated individuals.” (E)
“CNN: What do you think of the CDC’s Thursday decision on masking?
Dr. Leana Wen: Frankly, I was shocked. For months, I’ve been pushing for the CDC to give clearer, more practical guidance on what fully vaccinated people could do. They’ve been moving so slowly and cautiously, and I expected for them to say something like, fully vaccinated people can now get together with other fully vaccinated people, not just in informal settings like small dinners at home but formal settings like workplaces — I was thinking a conference room where fully vaccinated colleagues can all take off their masks.
Instead, the CDC removed virtually all restrictions on fully vaccinated people. On the one hand, this is a great affirmation of just how effective the vaccines are. I do think there is a great story to tell, that the vaccines are so powerful at protecting against illness and preventing vaccinated people from spreading coronavirus. On the other hand, this is such a sudden reversal. I don’t think people fully understand why the change was made — it feels like we went from zero to 100 overnight.
My concern is not for those who are fully vaccinated. Those people are well protected (with the exception of individuals who are immunocompromised). My concern is for those who are not yet able to be vaccinated, who are now potentially exposed to a higher level of risk because they will be around unvaccinated people who choose not to wear masks.
That’s because we can’t possibly know who’s vaccinated and who’s not. If you’re in a grocery store, and most people aren’t wearing masks anymore, what if some people aren’t vaccinated? If you yourself are vaccinated and pretty healthy, this is not a problem for you. But what if you’re not vaccinated — not because you don’t want to, but because you can’t?
I have two little children, ages 1 and 3, who can’t yet be vaccinated. Or what if you’re immunocompromised and the vaccines may not protect you as well, so you still have to be careful, even if you keep your mask on? I’m worried that the new CDC guidelines make it less safe for those who are already more vulnerable…
We need to have a bit more nuance than this. I’d encourage people to consider their own medical risks. If they are being treated for cancer and are on chemotherapy, or an organ transplant patient on immunosuppresants, I agree with the CDC that these people really need to keep masking in public settings if they are around potentially unvaccinated people. The chance of your carrying Covid-19 and transmitting it to others is also much decreased if you’re vaccinated, but that risk is still there. If you live at home with someone who is vulnerable, you may also want to use some additional caution.
In my case, I’m healthy but I live with two unvaccinated children — they can’t be vaccinated yet. I’d probably still be a bit cautious. I certainly wouldn’t need to wear a mask outdoors, but if I’m in a full-capacity, indoor church service where everyone is singing, and I’m not sure that people around me are vaccinated, I’d probably still wear a mask. Others may make a different choice, and that’s OK…
Unvaccinated people must still wear masks whenever they are spending time around someone who is unvaccinated or people of unknown vaccination status. If they are around someone who is definitely vaccinated, they don’t need to mask. But if they are in public, and it’s not clear if people around them are vaccinated, they should wear a mask.
The key is that vaccinated people are well protected, but the unvaccinated are not. The danger to them is not from the vaccinated, but from others who are not yet vaccinated. My concern with the CDC guidelines is that they don’t distinguish between who’s vaccinated and who’s not.
The unvaccinated are now at higher risk, because previously people around them were masked, and now some others who are unvaccinated may be unmasked and not keeping up with distancing.” (F)
“What about kids under 12?
There aren’t any vaccines currently approved for their use in the U.S. – which means the younger set needs to keep masking for the time being.
The CDC says all unvaccinated people age 2 and older “should wear masks in public settings and when around people who don’t live in their household.”
Experts at the American Academy of Pediatrics recommend unvaccinated children 2 and older continue to wear masks around others when indoors, especially when they are among at-risk adults such as those who are immunocompromised or over 65.
“We know children over age 2 can safely wear masks to protect themselves and others from transmitting the COVID-19 virus. We’ve already seen how the masks have helped prevent the spread of respiratory infections within schools, camps and other community settings, particularly when everyone wears them, washes hands and follows other infection control guidance,” Dr. Yvonne Maldonado, chair of the AAP Committee on Infectious Diseases, said in a statement.
All three manufacturers of U.S.-authorized vaccines are studying the safety and effectiveness of their vaccines in children, including as young as 6 months.
But it will likely be at least a few more months until there’s a vaccine approved for those under 12. Pfizer says it won’t be ready to ask for FDA approval for its COVID-19 vaccine in younger kids until September.” (G)
“As for the CDC’s revision of its masking rules, it is unclear what impact this will have on teachers, staff and students in the near term. Though the CDC has not yet revised its K-12 schools safety guidance, at least one district did move quickly Thursday to announce changes to its own in-school safety policies.
“In accordance with the new [CDC] guidance, Cobb Schools will no longer require fully vaccinated individuals to wear a mask,” wrote Chris Ragsdale, the superintendent of schools in Cobb County, Ga. “I would also like to make clear that any individual wishing to continue wearing a mask while attending school and/or school events should feel free to do so.”
But Becky Pringle, the president of the nation’s largest teachers union, the NEA, urged state and district leaders not to scrap in-school masking mandates.
“We know at this point that only a third of adults are vaccinated and no students younger than 16 are vaccinated,” Pringle said in a statement. “CDC’s key mitigation measures for safe in-person instruction, including wearing masks, should remain in place in schools and institutions of higher education to protect all students and others who are not vaccinated.”
In many places where mask-wearing has become unpopular, families and political leaders want children to be able to learn mask-less — regardless of whether they’ve been vaccinated. In Florida, Gov. Ron DeSantis said at a news conference Tuesday that he believes children should not be masked in classrooms, vaccinated or not.
“These kids do not need to be wearing these masks,” DeSantis said, though the CDC has said masking is a key strategy to prevent the spread of COVID-19 in schools. On Thursday, Palm Beach County Schools told families masks will be optional when the next school year begins.
In some states, masks in schools are already optional.
“Whether a child wears a mask in school is a decision that should be left only to a student’s parents,” said South Carolina Gov. Henry McMaster earlier this week as he issued an executive order allowing parents to opt their children out of school-based mask requirements.
The move was excoriated by the Palmetto State Teachers Association. In a statement, the group said, “many families and staff no longer have a choice for in-person learning if those individuals desire to follow the clear instructions of our public health authorities.”
Several districts in Utah are also now allowing parents to simply sign a form to exempt their children from schools’ face mask requirements. And, on Thursday, Utah’s governor announced a controversial move to end a statewide mask mandate in schools for the last week of the school year.” (I)
“US policy now focuses on getting more people vaccinated
With the news, America has entered a new phase in its Covid-19 response, in which it’s all-in on the vaccines.
It’s a reflection of the current reality: Now that the vaccines are widely available and more than half of US adults have gotten at least one dose, it’s less tenable to continue asking the vaccinated to make huge sacrifices. At the same time, the unvaccinated remain at risk of a deadly virus, and policymakers should do everything they can to make sure as many people as possible get the shot.
Much of the country had already moved to reopen, with 14 states already doing away with mask mandates entirely. The CDC’s guidance will likely nudge states further, perhaps causing them to, at the very least, find ways to let the vaccinated evade mask mandates.
Meanwhile, President Biden’s administration has emphasized that it’s now focused on vaccinating as many people as possible, adopting strategies to boost access, encourage the skeptical to get the shot, and reward those who do get inoculated. The administration has set a goal of vaccinating 70 percent of adults by July 4 — with the promise that at that point, much of the country can truly return to normal.” (J)
“Many state and city officials welcomed news from the Centers for Disease Control and Prevention on Thursday that fully vaccinated people in the U.S. can forgo masks and social distancing.
But some still stopped short of immediately implementing the changes.
The CDC said vaccinated people must follow existing state, local or tribal laws and regulations on masks and social distancing, as well as policies at businesses and workplaces.
As of Friday morning, the rules looked very different from one state, city or county to the next.
Many Republican-led states, including South Carolina, Alabama and Texas, already lifted mask mandates to some degree. Once the CDC made its announcement, many Democratic-led states, including Kentucky, Oregon, Washington, Nevada and Illinois, began making changes.
Officials in Connecticut, Colorado and Vermont announced that, while they weren’t immediately implementing the CDC’s new standards, they would do so in the coming days.
In Connecticut, Gov. Ned Lamont announced that the state will adopt the CDC’s mask rules May 19, when much of the rest of the Nutmeg State’s coronavirus restrictions are set to lift.
Vermont Gov. Phil Scott called the new CDC guidance “incredibly encouraging.”
While the state reviewed the CDC recommendations’ implications Thursday, Scott said “Vermont will follow suit.” Updates on the state’s mask mandate are set to be shared publicly on Friday at 11 a.m. ET.
“COVID-19 is still very much a threat in our State and many Nevadans may choose to continue using masks based on their and their families’ personal health concerns,” Nevada Health Response said. “Others should respect this choice.”
The state is still allowing private businesses to have their own more-restrictive mask policies. Each of Nevada’s counties also still has the authority to establish its own social distancing standards.
Mask mandates remain in place in states such as California, New York, Massachusetts and New Jersey as state leaders confer with public health experts on next steps.
At the city level, mayors of Washington, D.C., and New York City said they are also reviewing the new guidelines before making any decisions.
San Francisco Department of Public Health shared that it’s waiting on the rest of California to decide on updated mask-wearing guidelines before altering local rules.
The department tweeted, “As we recently did with the new guidance on outdoor masking for fully vaccinated people, we must wait for the state to adopt the updated guidelines before making changes to the local health order that we consider safe.”” (K)
Murphy said it could be weeks before the Garden State follows the U.S. Centers for Disease Control and Prevention’s latest guidance, which allows anyone who is fully vaccinated to do indoor and outdoor activities — of any size — without a mask or social distancing.
“I would guess in a matter of weeks we’ll get to the point where we can comfortably say inside, no matter what, you’re OK,” Murphy said after touring a vaccination site outside a ShopRite in East Orange on Friday.
“As of this moment in time, we’re not there yet.”
Murphy said residents could remove their masks outdoors if they are vaccinated, but those who are unvaccinated and “in close proximity” should continue to wear their masks.
“As it relates to folks outdoors, being among other vaccinated persons, I think we can do away with our masks,” the governor said. More details would be announced about mask rules and travel quarantines on Monday, he said…
New Jersey has seen a steep decline in new COVID cases and hospitalizations in recent months. Hospitalizations dipped below 1,000 people this week for the first time in six months.
But vaccinations have slowed, casting doubt on whether the state will reach Murphy’s goal of vaccinating 4.7 million people by the end of June. Murphy has acknowledged the slowdown, saying he would “scrap” to get to the goal.
Over 3.75 million residents have been vaccinated, and 2,600 children ages 12 to 15 had received the Pfizer vaccine on Thursday, the first day it was available to that age group, according to Health Commissioner Judith Persichilli.
“Folks are getting vaccinated and folks are doing the right thing,” the governor said. “As far as we can tell, as much as we want to get there, and we will get there as it relates to indoor masking, its only a matter of time. If you’re in a business or a public setting, we’re not there yet.”…
Though the indoor mask mandate will remain, the state will continue with the largest relaxation of restrictions yet on daily life since last March, when the pandemic began its first surge.
Most capacity limits are set to ease in the Garden State, part of a coordinated effort with neighboring New York and Connecticut, on May 19.” (L)
“Retailers started announcing changes to face mask policies for fully vaccinated customers a day after the Centers for Disease Control and Prevention issued new masking guidelines.
Trader Joe’s, Walmart, Sam’s Club, Costco and Publix were the first to confirm updates to mask requirements, leading the way for mask-free shopping except where required by state or local mandate. In some cases, vaccinated store employees can also go to work without a mask.
Many retailers, including Apple, Target, CVS and Walgreens, say they are still evaluating the CDC guidance but say they could update policies.
Starbucks updates its policy starting Monday and makes masks “optional for vaccinated customers beginning Monday, May 17, unless local regulations require them by law.”
So far, businesses have said proof of the vaccine won’t need to be shown and will be on the honor system.” (O)
_______________________
“Eight members of the New York Yankees have tested positive for coronavirus this week despite being inoculated with the Johnson & Johnson vaccine, the baseball team said Thursday.
The eight infected Yankees include coaches, staff members and a player. Seven do not have symptoms, said Jason Zillo, the team’s vice president of communications.
The Yankees said the eight infected members received the Johnson & Johnson vaccine at least two weeks ago.
The single-dose Johnson & Johnson vaccine was 72% effective against Covid-19 among US trial participants and 85% effective against severe Covid-19. The two-dose vaccines used in the US, from Pfizer/BioNTech and Moderna, are both about 95% effective.” (M)
“The Yankees have called all eight instances “breakthrough positives.” According to the Centers for Disease Control and Prevention, a breakthrough case occurs when a fully vaccinated person contracts the virus. It said a small number of such cases would be expected despite the effectiveness of vaccines, because none of the vaccines are capable of preventing illness in 100 percent of cases.” (N)
PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.”
PART 2. January 29, 2020. CORONAVIRUS. “If it’s not contained shortly, I think we are looking at a pandemic..”….. “With isolated cases of the dangerous new coronavirus cropping up in a number of states, public health officials say it is only a matter of time before the virus appears in New York City.”
PART3. February 3, 2020. “The Wuhan coronavirus spreading from China is now likely to become a pandemic that circles the globe…”..Trump appeared to downplay concerns about the flu-like virus …We’re gonna see what happens, but we did shut it down..” (D)
PART 4. February 9, 2020. Coronavirus. “A study published Friday in JAMA found that 41% of the first 138 patients diagnosed at one hospital in Wuhan, China, were presumed to be infected in that hospital.….
PART 5. February 12, 2020. CORONAVIRUS. “In short, shoe-leather public health and basic medical care—not miracle drugs—are generally what stop outbreaks of emerging infections..”
POST 6. February 18, 2020. Coronovirus. “Amid assurances that the (ocean liner) Westerdam was disease free, hundreds of people disembarked in Cambodia…” “ One was later found to be infected”…. “Over 1,000… passengers were in…transit home”…. “This could be a turning point””
PART 7. February 20, 2020. CORONAVIRUS. With SARS preparedness underway in NJ LibertyHealth/ Jersey City Medical Center, where I was President, proposed that our 100 bed community hospital with all single-bedded rooms, be immediately transformed into an EMERGENCY SARS ISOLATION Hospital.
PART 8. February 24, 2020. CORONAVIRUS. “…every country’s top priority should be to protect its health care workers. This is partly to ensure that hospitals themselves do not become sites where the coronavirus is spread more than it is contained.”
PART 9. February 27, 2020. CORONAVIRUS. Responding to a question about the likelihood of a U.S. outbreak, President Trump said, “I don’t think it’s inevitable…”It probably will. It possibly will,” he continued. “It could be at a very small level, or it could be at a larger level.”
Part 10. March 1, 2020. CORONAVIRUS. Stop Surprise Medical Bills for Coronavirus care. (&) Lessons Learned (or not) In California and Washington State from community acquired cases.
PART 11. March 5, 2020. CORONAVIRUS. “Gov. Andrew Cuomo… would require employers to pay workers and protect their jobs if they are quarantined because of the coronavirus.”
Part 12. March 10, 2020. CORONAVIRUS. “Tom Bossert, Donald Trump’s former homeland security advisor…(said) that due to the coronavirus outbreak, “We are 10 days from the hospitals getting creamed.”
Part 13.. March 14, 2020. CORONAVIRUS. “If I’m buying real estate in New York, I’ll listen to the President….If I’m asking about infectious diseases, I’m going to listen to Tony Fauci,”
PART 14. March 17, 2020. CORONAVIRUS. “ “Most physicians have never seen this level of angst and anxiety in their careers”…. One said “I am sort of a pariah in my family.”
PART 15. March 22, 2020. CORONAVIRUS. “…Crimson Contagion” and imagining an influenza pandemic, was simulated by the Trump administration….in a series of exercises that ran from last January to August.
PART 16. March 27, 2020. CORONAVIRUS. I am not a clinician or a medical ethicist but articles on Coronavirus patient triage started me Googling………to learn about FUTILE TREATMENT
PART 17. April 2, 2020. CORONAVIRUS. Florida allows churches to continue holding services. Gun stores deemed “essential.” “New York’s private and public hospitals unite to manage patient load and share resources.
PART 18. April 9, 2020. CORONAVIRUS. “The federal government’s emergency stockpile of personal protective equipment (PPE) is depleted, and states will not be receiving any more shipments, administration staff told a House panel.
PART 19. April 13, 2020 CORONOAVIRUS. “…overlooked in the United States’ halting mobilization against the novel coronavirus: the personal aides, hospice attendants, nurses and occupational or physical therapists who deliver medical or support services to patients in their homes.”
POST 22. April 29, 2020. CORONAVIRUS. ..the “ACS released a list of 10 issues that should be addressed before a healthcare organization resumes elective surgeries[JM1] ….”
POST 23. May 3, 2020. CORONAVIRUS. … what Dr. Fauci really wants,…”is just to go to a baseball game. That will have to wait. The level of testing for the virus is not adequate enough to allow for such mass gatherings.’ (K)
POST 24. May 7, 2020. CORONAVIRUS. Former New Jersey governor Chris Christie said: “there are going to be deaths no matter what”… but that people needed to get back to work.
POST 25. May 10, 2020, CORONAVIRUS. “It is scary to go to work,” said Kevin Hassett, a top economic adviser to the president. “I think that I’d be a lot safer if I was sitting at home than I would be going to the West Wing.”
POST 26. May 14, 2020. CORONAVIRUS, “Deep cleaning is not a scientific concept”….”there is no universal protocol for a “deep clean” to eradicate the coronavirus”
POST 27. May 19, 2020. CORONAVIRUS. “Hospital…executives…are taking pay cuts…to help offset the financial fallout from COVID-19.” As “front line” layoffs and furloughs accelerate…
POST 28. May 23, 2020. CORONAVIRUS. ““You’ve got to be kidding me,”..”How could the CDC make that mistake? This is a mess.” CDC conflates viral and antibody tests numbers.
PART 29. May 22, 2020. CORONAVIRUS. “The economy did not close down. It closed down for people who, frankly, had the luxury of staying home,” (Governor Cuomo). But not so for frontline workers!
POST 30. June 3,202. CORONAVIRUS. “The wave of mass protests across the United States will almost certainly set off new chains of infection for the novel coronavirus, experts say….
Post 32. June 16, 2020. CORONAVIRUS. Could the Trump administration be pursuing herd immunity by “inaction”? “ If Fauci didn’t exist, we’d have to invent him.”
POST 34. June 26, 2020. CORONAVIRUS. CDC Director Redfield… “the number of coronavirus infections…could be 10 times higher than the confirmed case count — a total of more than 20 million.” As Florida, Texas and Arizona become eipicenters!
POST 35. June 29, 2020. CORONAVIRUS. Pence: “We slowed the spread. We flattened the curve. We saved lives..” While Dr. Fauci “warned that outbreaks in the South and West could engulf the country…”
POST 36. July 2, 2020. CORONAVIRUS. “There’s just a handful of interventions proven to curb the spread of the coronavirus. One of them is contact tracing, and “it’s not going well,” (Dr. Anthony Fauci)..
POST 37. June 8, 2020. CORONAVIRUS. When “crews arrive at a hospital with a patient suspected of having COVID-19, the hospital may have a physical bed open for them, but not enough nurses or doctors to staff it.”
POST 38. July 15, 2020. CORONAVIRUS. Some Lessons Learned, or not. AdventHealth CEO Terry Shaw: I wouldn’t hesitate to go to Disney as a healthcare CEO — based on the fact that they’re working extremely hard to keep people safe,” (M)
POST 39. July, 23,2020. CORONAVIRUS. A Tale of Two Cities. Seattle becomes New York (rolls back reopening) while New York becomes Seattle (moves to partial phase 4 reopening)
POST 40. July 27, 2020. CORONAVIRUS.” One canon of medical practice is that you order a test only if you can act on the result. And with a turnaround time of a week or two, you cannot. What we have now is often not testing — it’s testing theater.”
POST 41. August 2, 2020. CORONAVIRUS. “Whenever a vaccine for the coronavirus becomes available, one thing is virtually certain: There won’t be enough to go around. That means there will be rationing.”
POST 44. September 1, 2020. CORONAVIRUS. “The CDC…modified its coronavirus testing guidelines…to exclude people who do not have symptoms of Covid-19.” (While Dr. Fauci was undergoing surgery.) A White House official said: “Everybody is going to catch this thing eventually..”
POST 45. September 9, 2020. CORONAVIRUS. Trump on Fauci. ‘You inherit a lot of people, and you have some you love, some you don’t. I like him. I don’t agree with him that often but I like him.’
POST 46. September 17, 2020. CORONAVIRUS. “Bill Gates used to think of the US Food and Drug Administration as the world’s premier public-health authority. Not anymore. And he doesn’t trust the Centers for Disease Control and Protection either….”
POST 47. September 24, 2020. CORONAVIRUS. “Perry N. Halkitis, dean of the School of Public Health at Rutgers University…called New York City’s 35 percent rate for eliciting contacts “very bad.” “For each person, you should be in touch with 75 percent of their contacts within a day,” he said”
POST 48. October 1, 2020. “…you can actually control the outbreak if you do the nonpharmaceutical interventions (social distancing and masks). In the United States we haven’t done them. We haven’t adhered to them; we’ve played with them.” (A)
POST 49. October 4, 2020. CORONAVIRUS. RAPID RESPONSE. “The possibility that the president and his White House entourage were traveling superspreaders is a nightmare scenario for officials in Minnesota, Ohio, New Jersey and Pennsylvania…”
POST 50. October 6, 2020. CORONAVIRUS. Monday October 5th will go down as one of the most fraught chapters in the history of American public Health (and national security).
POST 51. October 12, 2020. Rather than a hodge-podge of Emergency Use Authorizations, off-label “experimentation”, right-to-try arguments, and “politicized” compassionate use approvals maybe we need to designate REGIONAL EMERGING VIRUSES REFERRAL CENTERS (REVRCs).
POST 52. October 18, 2020. ZIKA/ EBOLA/ CANDIDA AURIS/ SEVERE FLU/ Tracking. “… if there was a severe flu pandemic, more than 33 million people could be killed across the world in 250 days… Boy, do we not have our act together.” —”- Bill Gates. July 1, 2018
POST 54. October 22, 2020. CORONAVIRUS. POST 54A. New Jersey’s Coronavirus response, led by Governor Murphy and Commissioner of Health Persichilli started with accelerated A+ traditional, evidence-based Public Health practices, developed over years of experience with seasonal flu, swine flu, Zika, and Ebola.
POST 55. October 26, 2020. CORONAVIRUS. The Testing Conundrum: “ It’s thus very possible to be antigen negative but P.C.R. positive, while still harboring the virus in the body..”
POST 57. November 3, 2020. CORONAVIRUS. Dr. Deborah Birx: the US is entering its “most deadly phase” yet, one that requires “much more aggressive action,”
POST 58. November 4, 2020. CORONAVIRUS. “…the president has largely shuttered the White House Coronavirus Task Force and doubled down on anti-science language…”
POST 59. November 5, 2020. Coronavirus. “The United States on Wednesday recorded over 100,000 new coronavirus cases in a single day for the first time since the pandemic began..
POST 61. November 7, 2020. CORONAVIRUS. “Joe Biden’s top priority entering the White House is fighting both the immediate coronavirus crisis and its complex long-term aftermath…” “Here are the key ways he plans to get US coronavirus cases under control.”
POST 62. November 8, 2020. CORONAVIRUS. “The United States reported its 10 millionth coronavirus case on Sunday, with the latest million added in just 10 days,…”
POST 63. November 9, 2020. CORONAVIRUS. “New York City-based Mount Sinai Health System has opened a center to help patients recovering from COVID-19 and to study the long-term impact of the disease….”
POST 64. November 10, 2020. CORONAVIRUS. “It works! Scientists have greeted with cautious optimism a press release declaring positive interim results from a coronavirus vaccine phase III trial — the first to report on the final round of human testing.”
POST 65. November 11, 2020. CORONAVIRUS, “The Centers for Disease Control and Prevention took a stronger stance in favor of masks on Tuesday, emphasizing that they protect the people wearing them, rather than just those around them…
POST 66. November.12, 2020. CORONAVIRUS.”… as the country enters what may be the most intense stage of the pandemic yet, the Trump administration remains largely disengaged.”… “President-elect Biden has formed a special transition team dedicated to coordinating the coronavirus response across the government…”
POST 67. November 13, 2020. CORONAVIRUS. “When all other options are exhausted, the CDC website says, workers who are suspected or confirmed to have COVID-19 (and “who are well enough to work”) can care for patients who are not severely immunocompromised — first for those who are also confirmed to have COVID-19, then those with suspected cases.”
POST 68. November 14, 2020. CORONAVIRUS. The CDC “now is hewing more closely to scientific evidence, often contradicting the positions of the Trump administration.”..” “A passenger aboard the first cruise ship to set sail in the Caribbean since the start of the pandemic has tested positive for coronavirus..”
POST 69. November 15, 2020. CORONAVIRUS. “Colorado Gov. Jared Polis will issue a new executive order outlining steps hospitals will need to take to ready themselves for a surge in COVID-19 hospitalizations and directing the hospitals to finalize plans for converting beds into ICU beds, adding staffing and scaling back on or eliminating elective procedures….
POST 70. November 16, 2020. CORONAVIRUS. “White House coronavirus task force member Dr. Atlas criticized Michigan’s new Covid-19 restrictions..urging people to “rise up” against the new public health measures.
POST 71. November 17, 2020. CORONAVIRUS. ”Hospitals overrun as U.S. reports 1 million new coronavirus cases in a week.” “But in Florida, where the number of coronavirus infections remains the third-highest in the nation, bars and schools remain open and restaurants continue to operate at full capacity.”
POST 72. November 18, 2020. CORONAVIRUS. “The Health and Human Services Department will not work with President-elect Joe Biden’s (PANDEMIC) team until the General Services Administration makes a determination that he won the election,….”
POST 73. November 19, 2020. CORONAVIRUS. “…officials at the CDC…urged Americans to avoid travel for Thanksgiving and to celebrate only with members of their immediate households…” When will I trust a vaccine? to the last question I always answer: When I see Tony Fauci take one….”
POST 74. November 20, 2020. CORONAVIRUS. Pfizer…submitted to the FDA for emergency use authorization for their coronavirus vaccine candidate. —FDA issued an EUA for the drug baricitinib, in combination with remdesivir, as WHO says remdesivir doesn’t do much of anything.
POST 75. November 21, 2020. CORONAVIRUS. “The president and CEO of one of the nation’s largest non-profit health systems says he won’t be wearing a mask at work because he’s recovered from COVID-19, and doing so would only be a “symbolic gesture” because he considers himself immune from the virus….
POST 76. November 23, 2020. CORONAVIRUS. “No battle plan survives contact with the enemy.” Ventilators..”just keep people alive while the people caring for them can figure out what’s wrong and fix the problem. And at the moment, we just don’t have enough of those people.”
POST 77. November 26, 2020. CORONAVIRUS. Pope Francis: “When I got really sick at the age of 21, I had my first experience of limit, of pain and loneliness.”.. “….Aug. 13, 1957. I got taken to a hospital…”….” I remember especially two nurses from this time.”…” They fought for me to the end, until my eventual recovery.”
POST 78. November 27, 2020. CORONAVIRUS. “Kelby Krabbenhoft is no longer president and CEO of Sioux Falls, S.D.-based Sanford Health.” “…for not wearing a face covering… “ because “He considered himself immune from the virus.”
POST 79. November 28, 2020. CORONAVIRUS. Mayo Clinic. “”Our surge plan expands into the garage…”..””Not where I’d want to put my grandfather or my grandmother,” … though it “may have to happen.”
POST 81. December 1, 2020. CORONAVIRUS. “Dr. Atlas, … who espoused controversial theories and rankled government scientists while advising President Trump on the coronavirus pandemic, resigned…”
POST 82. December 3, 2020. CORONAVIRIUS. The NBA jumped to the front of the line for Coronavirus testing….while front line nurses often are still waiting. Who will similarly “hijack” the vaccine?
POST 83. December 4, 2020. CORONAVIRUS. “California Gov. Gavin Newsom says he will impose a new, regional stay-at-home order for areas where capacity at intensive care units falls below 15%.”… East Tennessee –“This is the first time the health care capability benchmark has been in the red..”
POST 84. December 6, 2020. CPRONAVIRUS. “ More than 100,000 Americans are in the hospital with COVID-19…” “We’re seeing C.D.C. …awaken from (its) politics-induced coma…”…Dr. Fauci “to be a chief medical adviser in Biden’s incoming administration..”.. “Trump administration leaves states to grapple with how to distribute scarce vaccines..”
POST 85. December 7, 2020. CORONAVIRUS. “…Florida, Gov. DeSantis’ administration engaged in a pattern of spin and concealment that misled the public on the gravest health threat the state has ever faced..”.. “NY Gov. Cuomo said…the state will implement a barrage of new emergency actions..”… Rhode Island and Massachusetts open field hospitals… “Biden Names Health Team to Fight Pandemic”
POST 86. December 9, 2020. If this analysis seems a bit incomprehensible it is because “free Coronavirus test” is often an oxymoron! with charges ranging from as little as $23 to as much as $2,315… Laws (like for free Coronavirus tests) are Like Sausages. Better Not to See Them Being Made. (Please allow about 20 seconds for the text to download. Thanx!)
POST 87. December 10, 2020. CORONAVIRUS. “…Rudolph W. Giuliani, the latest member of President Trump’s inner circle to contract Covid-19, has acknowledged that he received at least two of the same drugs the president received. He even conceded that his “celebrity” status had given him access to care that others did not have.”
POST 88. December 11, 2020. CORONAVIRUS. “As COVID-19 cases surge, the federal government is releasing data about hospital capacity at facilities around the country….”The new data paints the picture of how a specific hospital is experiencing the pandemic,”…
PART 89. December 12, 2020. CORONAVIRUS. THE VACCINE!!! “Now this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning.” Winston Churchill
POST 90. December 14, 2020. CORONAVIRUS. “…the first doses of a Covid-19 vaccine have been given to the American public..”…” Each person who receives a vaccine needs two doses, and it’s up to states to allocate their share of vaccines.”
POST 91. December 15, 2020. CORONAVIRUS. “UPMC will first give (vaccination) priority to those in critical jobs. That includes a range of people working in critical units, from workers cleaning the emergency room and registering patients to doctors and nurses.. “Finally, if needed, UPMC will use a lottery to select who will be scheduled first.”
POST 92. December 17, 2020. CORONAVIRUS. “..each state — and each hospital system — has come up with its own (vaccination) plan and priorities. The result has been a sometimes confusing constellation of rules and groupings that has left health care workers wondering where they stand.” (Trump appointee July 4th email “…we need to establish herd, and it only comes about allowing the non-high risk groups expose themselves to the virus. PERIOD,”)
POST 93. December 19, 2020. CORONAVIRUS. On NPR Congresswoman Shalala (D-Florida) said she wouldn’t jump the vaccination line in Miami; then added she would get vaccinated in Washington this week. This, even though Congress has failed to pass “essential” Coronavirus legislation. So who are our “essential” workers?
POST 94. December 21, 2020. CORONAVIRUS. “A doctor at an L.A. County public hospital said the number of COVID-19 patients is “increasing exponentially, without an end in sight.”.. “I haven’t done ICU medicine since I was a resident — you don’t want me adjusting your ventilator,” he said. “That’s the challenge, actually — it isn’t so much space, it’s staff…”
POST 96. December 26, 2020. CORONAVIRUS. “Achieving herd immunity against the coronavirus could require as much as 90 percent of the population to be vaccinated, Anthony Fauci…”…”..he hesitated to state a number as high as 90% weeks ago because many Americans still seemed skeptical about vaccine….”
POST 97. December 27, 2020. “A new variant of the coronavirus that has been spreading through the UK and other countries has not yet been detected in the United States..”.. . But if new-wave medicines like antivirals and antibody therapy contributed to the development of viral variants, it will be “a reminder for all the medical community that we need to use these treatment options carefully.”
POST 99. December 29, 2020. CORONAVIRUS. “ICUs are being overwhelmed across many parts of California. Statewide aggregate ICU availability has been at 0% since Christmas Eve…. a surge on top of a surge on top of a surge.”… “hospitals are getting close to the point where they would begin putting COVID-positive patients under the care of COVID-positive staff who are asymptomatic.”
POST 100. December 29, 2020. CORONAVIRUS. Front line hospital workers – in the ER, ICUs, EMS, acute medical care, behavioral health – are amongst the most courageous, heroic and dedicated colleagues you will ever meet.
POST 101. December 30, 2020.CORONAVIRUS. Is there a point where the increasing Coronavirus trajectory so far exceeds the slow growth of the vaccination rate that reaching herd immunity through vaccinations becomes less likely?
POST 102. January 2, 2020. CORONAVIRUS. “We’ve taken the people with the least amount of resources and capacity and asked them to do the hardest part of the vaccination — which is actually getting the vaccines administered into people’s arms,” said Dr. Ashish Jha, the dean of Brown University’s School of Public Health. “Ultimately, the buck seems to stop with no one,”…
POST 103. January 4, 2021. CORONAVIRUS. Dr. Fauci said “that the United States would not follow Britain’s lead in front-loading first vaccine injections, potentially delaying the administration of second doses…Dr. Moore – ”British officials “seem to have abandoned science completely now and are just trying to guess their way out of a mess.”
POST 104. January 6, 2021. CORONAVIRUS. “Paramedics in Southern California are being told to conserve oxygen and not to bring patients to the hospital who have little chance of survival…”
POST 105. January 8, 2021. CORONAVIRUS. POST 105. January 8, 2021. CORONAVIRUS. “Facing a shortage of vaccinators, the Association of Immunization Managers… recommends relaxing regulation or adjusting licensing requirements. At least two states, Massachusetts and New York, have changed their laws in recent weeks to expand those who are eligible to give shots.”
POST 106. January 9, 2021. CORONAVIRUS. The riots at the Capitol could have been a superspreader event. “From what I saw… you had a large congregation of individuals who were in close contact for an extended period of time and almost universally unmasked…. many coming and going on buses as well, also unmasked, and hanging out in hotel lobbies.”
POST 107. January 8, 2021. CORONAVIRUS. “Our job is to make sure the vaccine isn’t politicized the way masks were politicized,” Rep. Alexandria Ocasio-Cortez, D-N.Y., said after getting her vaccine. South Carolina Rep.-elect Nancy Mace, a Republican, wrote that “Congress shouldn’t be putting themselves first in line for the COVID-19 vaccination when the average American can’t get it.”
POST 108. January 9, 2021. CORONAVIRUS. (vaccination)”Line-cutters will be named and shamed. It’s inevitable, as will be the congressional hearings and front-page investigative stories ferreting out who saved their own skin at the expense of others.”
POST 109.January 9, 2021. CORONAVIRUS. “President-elect Joe Biden will aim to release nearly every available dose of the coronavirus vaccine when he takes office, a break with the Trump administration’s strategy of holding back half of US vaccine production to ensure second doses are available.
POST 110. January 13, 2021. CORONAVIRUS. ““The (federal) government is changing the way it allocates Covid vaccine doses, now basing it on how quickly states can administer shots and the size of their elderly population.”… “New York State sent a letter to hospitals saying if they don’t use their vaccine allocations by the end of this week, they won’t receive any further allocations.”
POST 111. January 14, 2021. CORONAVIRUS. “Visitors from Toronto to New York to Buenos Aires have long flocked to Florida for sun, surf and shopping. Now they are coming for the Covid-19 vaccine….
POST 112. January 14, 2021. CORONAVIRUS. CHINA – “Eleven million people are under lockdown in Hebei province after a new cluster of coronavirus infections.
PART 113. January 17, 2021. CORONAVIRUS. The Next President Actually Has a Covid Plan… New York City and other places in the state expect to exhaust their supply of doses as early as next week… Charles Barkley said during the “NBA on TNT” broadcast that pro athletes should get the first round of the vaccine…..
POST 114. January 18, 2021. CORONAVIRUS. “When government programs that have been unattended, underfunded and bogged down by red tape suddenly have to meet a huge demand in a crisis, they can’t cope and people suffer….”
POST 115. January 21, 2020. CORONAVIRUS. A year ago today an unnumbered POST was headlined “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” The CORONAVIRUS CONTENT TRACKING PROJECT started with HISTORIOGRAPHY and over time moved to LESSONS LEARNED, RAPID RESPONSE, and THE VACCINATION PROGRAM. Now 115 POSTS later – the BIDEN CORONAVIRUS PLAN.
POST 116. January 22, 2021. President Biden – “We’re entering what may be the toughest and deadliest period of the virus. We must set aside politics and finally face this pandemic as one nation.”
POST 117. January 23, 2021. CORONAVIRUS. 1.Dr. Fauci:“The idea that you can get up here….”and.. let the science speak”… “It is somewhat of a liberating feeling.” 2.updated CDC guidance:”.. providers could give the second dose up to six weeks after the first dose..” 3.Dr. Fauci: people would be “taking a chance” if they follow the CDC’s updated guidance.
POST 118. January 24, 2021. CORONAVIRUS. “Unfortunately, we’ve let this virus spread extensively and are launching the vaccination campaign at the height of the threat,” Dr. Meyers said. “The more the virus spreads before the vaccine reaches people, the fewer deaths we can prevent with the vaccine.”
POST 119. January 27, 2010. CORONAVIRUS. Amazon is offering its help to President Joe Biden with the rollout of COVID-19 vaccines. Washington’s governor, Jay Inslee, included the help of companies like Starbucks, Costco and Microsoft in a plan to vaccinate 45,000 residents a day.
POST 120. January 28, 2021. CORONAVIRUS. “The fact that four vaccines backed by the federal government seem to be less effective against the (South African) B.1.351 variant has unsettled federal officials and vaccine experts alike. Facing this uncertainty, many researchers said it was imperative to get as many people vaccinated as possible — quickly. Lowering the rate of infection could thwart the contagious variants while they are still rare, and prevent other viruses from gaining new mutations that could cause more trouble.”
POST 121. January 30, 2021. CORONVIRUS. Will our communities become stratified by which vaccine is distributed? 95%ters v. 72%ters? Will the easier distribution of the J&J vaccine drive its inequitable distribution to” hard-hit, marginalized, and medically underserved communities.” (thanx! to XJ/LA)
POST 123. February 4, 2021. CORONAVIRUS. “Nursing homes across the country are facing the same struggle, as workers have been more reluctant than residents to be vaccinated…
POST 124. February 5, 2021. CORONAVIRUS. Dr. Osterholm ” …it may be time to..go with a ‘first-dose only’ approach, so more people over the age of 65 can have at least some protection right away. He said that would require delaying second doses until this summer.” Dr.Fauci “warned against this practice, and cautioned people about “the danger” that could come with focusing only on the first dose.”
POST 125. June 9, 2021. CORONAVIRUS. “States are rolling back Covid-19 restrictions as new cases trend down from record highs across the country. But experts warn it might be too much too soon as variants pose an increased risk and the pandemic… is far from over.”
POST 126. February 11, 2021. CORONAVIRUS. “There will be more coronavirus outbreaks in the future. Bats and other mammals are rife with strains and species of this abundant family of viruses. Some of these pathogens will inevitably spill over the species barrier and cause new pandemics. It’s only a matter of time.” (A)
POST 127. February 12, 2021. CORONAVIRUS. “… Trump only agreed to be hospitalized when aides told him that he could walk to Marine One or he could wait until his case progressed and he would be carried out.”
POST 128. February 14, 2021. CORONAVIRUS. “The Centers for Disease Control and Prevention released new research on Wednesday that found wearing a cloth mask over a surgical mask offers more protection against the coronavirus, as does tying knots on the ear loops of surgical masks…
POST 129. February 15, 2021, CORONAVIRUS. “ “The CDC released its much-anticipated, updated guidance to help school leaders decide how to safely bring students back into classrooms, or keep them there.”…” For politicians, parents and school leaders looking for a clear green light to reopen schools, this is not it.”
POST 130. February 16, 2021. CORONAVIRUS. “A second person who had contracted the Ebola virus died this week in the Democratic Republic of Congo, marking another outbreak just three months after the nation outlasted the virus’s second-worst outbreak in history…”
POST 131. February 17, 2021. CORONAVIRUS. “It really is right now – a race between how quickly new variants, particularly the U.K. variant, can spread in the United States and how quickly we can get people vaccinated”
POST 132. February 20, 2021. CORONAVIRUS. “In Texas, where over 2.5 million people are still without power, the state health department said this week’s vaccine shipments wouldn’t arrive until Wednesday at the earliest.”
POST 133. February 23, 2021. CORONAVIRUS. “Going off your meds is a surefire way to aggravate your doctor. What if a whole country did it?” The United Kingdom has veered into uncharted territory by changing tack and introducing a revised COVID-19 vaccination protocol, one that involves distributing the second dose at 12 weeks, rather than the prescribed 21 days.”
POST 134. February 24, 2021. CORONAVIRUS. The first tranche of the J&J (single dose) vaccine must go to K-12 teachers, so schools can open safely in the first 100 days of the Biden Administration. The federal government…”can set up its own vaccination centers in regions with eligible populations it’s trying to target.” We owe our front-line teachers nothing less!
POST 135. February 27, 2021. CORONAVIRUS. “As Chief Executive Officers of New York’s major health care systems, we would like to provide facts to clear up confusion in the public and the media regarding decisions to discharge patients to nursing homes during New York’s spring coronavirus surge.”
POST 136. March 2, 2021. CORONAVIRUS. ““The governors of Texas and Mississippi both announced on Tuesday they would be lifting their states’ mask mandates and rolling back many of their Covid-19 health mandates..”…while “The US could experience a “fourth surge” of coronavirus before the majority of the country is vaccinated.”
POST 137. March 4, 2021. CORONAVIRUS. “The clamor for hard-to-get Covid-19 vaccines has created armies of anxious Americans who have resorted to hunting for leftovers on the fringes of the country’s patchwork vaccination system. They haunt pharmacies at the end of the day in search of an extra, expiring dose. They drive from clinic to clinic hoping that someone was a no-show to their appointment. They cold-call pharmacies like eager telemarketers: Any extras today? Maybe tomorrow? Some pharmacists have even given them a nickname: vaccine lurkers.” (H)
POST 138. March 6, 2021. CORONAVIRUS. “New cases are decreasing in the third wave because we are past the holidays, not because of vaccinations. It is a common misconception that the decrease we are seeing in new cases, hospitalizations, and deaths in the U.S. is due to vaccinations. The two aren’t related; at least yet.”
POST 139. March 8, 2021. CORONAVIRUS. CDC Issues First Set of Guidelines on How Fully Vaccinated People Can Visit Safely with Others…” In practice, that means fully vaccinated grandparents may visit unvaccinated healthy adult children and healthy grandchildren of the same household without masks or physical distancing.” (C)
POST 140. March 9, 2021. CORONAVIRUS. “In West Virginia, they are bracing for the second wave….. Not coronavirus but opioid overdoses, with one scourge driving a resurgence of the other.
POST 141. March 11, 2021. CORONAVIRUS. Today is the first anniversary of the WHO declaration that the novel coronavirus was a Public Health Emergency of International Concern… “To truly prepare itself against the next pandemic, the U.S. has to reimagine what preparedness looks like.”
POST 142. March 15, 2021. CORONAVIRUS. “Candida auris is a superbug, a pathogen that can evade drugs made to kill it—and early signs suggest the COVID-19 pandemic may be propelling infections of the highly dangerous yeast. That’s because C. auris is particularly prominent in hospital settings, which have been flooded with people this year due to the coronavirus.”
POST 143. March 17, 2021. CORONAVIRUS. “The Trump administration sought to suppress Covid-19 testing in the United States last year by softening guidance from the Centers for Disease Control and Prevention on who needed to be tested, a House panel said Monday.”
POST 144. March 20, 2021. CORONAVIRUS. ““The vaccine hesitancy we are seeing isn’t just about Covid vaccines,”… “It is a general reflection of Americans’ lack of trust in science, the pharmaceutical industry, and large health care institutions. We need a full court press on science and vaccine education right now to prevent more aggressive Covid-19 variants from developing and taking hold.”
POST 145. March 25, 2021. CORONAVIRUS. “Efforts to disseminate Covid-19 vaccines as widely as possible are hitting an unexpected obstacle: health-care workers who decline the shots.
POST 146. March 30, 2021. CORONAVIRUS. Dr. Osterholm told Becker’s: “This is the perfect storm,”…”Here is Europe locking down and having problems containing B.1.1.7, even with vaccinations and previous infection histories. Here we are opening up as wide as we can. We are literally just walking into the mouth of the virus saying, ‘Don’t worry.’” (M)
POST 147. April 5, 2021. CORONAVIRUS. “The pandemic helped cement the shift to “a philosophy of really focusing on the role of the physician in reasoning through ambiguous and unknown problems as the focus of education, rather than teaching students that the role of physician was to memorize a body of knowledge that was already in existence and good enough for what usually happens.”
POST 148. April 7, 2021. CORONAVIRUS. While the Biden administration accelerates vaccinations to ward off numerous variants and as more young people are being hospitalized, states, even with increasing case rates are on paths to fully reopen. Politics v. public health!
POST 149. April 10, 2021. CORONAVIRIUS. “From Michigan to Massachusetts, COVID-19 cases and hospitalizations are on the rise again. Deaths will soon follow. “ ”.. the Biden administration is facing renewed calls to delay second vaccine doses and blanket more of the U.S. population with an initial shot.”
POST 150. April 10, 2021. CORONAVIRUS. “The use of so-called COVID-19 “vaccine passports” is quickly becoming a divisive issue across the US – with several states, including New York, embracing the idea, while others have already moved to ban them.”
POST 151. April 14, 2021. CORONAVIRUS. the J&J vaccination pause. “ Federal officials are concerned that doctors may not be trained to spot or treat the rare disorder if recipients of the vaccine develop symptoms of it…” “…a standard treatment for blood clots — use of an anticoagulant drug — could be dangerous or even fatal in such cases…”
POST 152. April 15, 2021. CORONAVIRUS. “The Chinese Center for Disease Control and Prevention’s director said Saturday authorities are considering mixing COVID-19 vaccines because the country’s domestically made doses “don’t have very high protection rates,”
POST 153. April 18, 2021. CORONAVIRUS. “At least 35 hospitals across Michigan were listed Thursday as nearing capacity and three were at full capacity for COVID-19 patients..”.. We can manufacture beds. We can open up beds. We can create entire wings of the hospital if we have to, but if we don’t have staff for those beds, we’ve got nothing.”..
POST 154. April 19, 2021. CORONAVIRUS. “Breakthrough infections, which occur when fully vaccinated people are infected by the pathogen that their shots were designed to protect against, are an entirely expected part of any vaccination process.” “Pfizer’s chief executive said that a third dose of the company’s Covid-19 vaccine was “likely” to be needed within a year of the initial two-dose inoculation — followed by annual vaccinations.”
POST 155. April 24, 2021. CORONAVIRUS. As the J&J vaccine pause is ended Senator Johnson said “The science tells us that vaccines are 95% effective. So if you have a vaccine, quite honestly, what do you care if your neighbor has one or not? I mean, what is it to you?”
POST 156. April 28, 2021. CORONAVIRUS. As CDC revises guidance on outdoor masking, Texas Governor Abbott says “the state is “very close” to herd immunity… despite acknowledging that he does not know what the herd immunity threshold is for the virus, an uncertainty echoed by the public health community.”
POST 157. April 25, 2021. CORONAVIRUS. Ohio hospitals; “We agreed in multiple conversations, there’s nothing in fighting a pandemic that creates a competitive advantage.”…
POST 158. May 5, 2021. CORONAVIRUS. . As populations get closer to herd immunity “ it may be helpful to introduce some nuance to what we mean by the term. Nationwide herd immunity. Regional herd immunity. Temporary herd immunity. Endemicity.”
POST 159. May 9, 2021. CORONAVIRUS. “Without deeper sharing of expertise in how to make vaccines…waiving patent obligations is unlikely to be a game-changer… Having access to the “recipe” certainly helps, but understanding how to put it together and produce it at scale is something else.”
POST 160. May 13, 2021.CORONAVIRUS. “The CDC acknowledged Friday that airborne spread of COVID-19 among people more than 6 feet apart “has been repeatedly documented.”” Meanwhile states relax or eliminate indoor dining restrictions. HUH?
POST 161. May 15, 2021. CORONAVIRUS. “Even if the spread of Covid-19 decreases enough to allow a return of most activities, there are some aspects of pandemic life that epidemiologists say will persist much longer. In particular, they say that masks are a norm that should continue, even if that view puts them at odds with the new C.D.C. guidance. More than 80 percent of them say people should continue to wear masks when indoors with strangers for at least another year, and outdoors in crowds.”
Why it matters: This is “a change from the agency’s previous position that most infections were acquired through ‘close contact, not airborne transmission,'” the N.Y. Times reports.
The new guidance says airborne transmission is more common when people are close, but:
“These transmission events have involved the presence of an infectious person exhaling virus indoors for an extended time (more than 15 minutes and in some cases hours) leading to virus concentrations in the air space sufficient to transmit infections to people more than 6 feet away, and in some cases to people who have passed through that space soon after the infectious person left.”” (A)
Epidemiologists have pushed for worldwide recognition that the virus can be transmitted by inhalation, saying improved ventilation and other airborne-specific mitigation measures could curb outbreaks.” (B)
“As the pandemic unfolded last year, infectious disease experts warned for months that both the C.D.C. and the World Health Organization were overlooking research that strongly suggested the coronavirus traveled aloft in small, airborne particles. Several scientists on Friday welcomed the agency’s scrapping of the term “close contact,” which they criticized as vague and said did not necessarily capture the nuances of aerosol transmission.
“C.D.C. has now caught up to the latest scientific evidence, and they’ve gotten rid of some old problematic terms and thinking about how transmission occurs,” said Linsey Marr, an aerosol expert at Virginia Tech.
The new focus underscores the need for the federal Occupational Safety and Health Administration to issue standards for employers to address potential hazards in the workplace, some experts said.
“They hadn’t talked much about aerosols and were more focused on droplets,” said David Michaels, an epidemiologist at George Washington School of Public Health and head of OSHA in the Obama administration.” (C)
“This comes after months of infectious disease experts warning that the CDC and World Health Organization were focusing too much on the risk of picking COVID-19 from surfaces and emphasizing that “close contact” was needed for infection. That was despite increasing evidence that tiny virus particles could remain suspended in the air even after the infected person left a location. “C.D.C. has now caught up to the latest scientific evidence, and they’ve gotten rid of some old problematic terms and thinking about how transmission occurs,” Linsey Marr, an aerosol expert at Virginia Tech, tells the New York Times.
Despite the change, some aerosol experts continue to say the CDC hasn’t gone far enough because it continues to say that transmission from far away is “uncommon,” which Marr said was “misleading and potentially harmful” because “if you’re in a poorly ventilated environment, virus is going to build up in the air, and everyone who’s in that room is going to be exposed.” The CDC’s wording “will lead people to continue to think that maintaining distance is sufficient to prevent transmission,” reads an open letter signed by seven experts, including Marr. “We know that transmission at distances beyond 6 feet occurs because of superspreader events, careful studies of smaller outbreaks, and the physics of aerosols. It can easily happen indoors in a poorly ventilated environment, when people are not wearing masks.”” (D)
“The new information has significant implications for indoor environments, and workplaces in particular, Dr. Michaels said. Virus-laden particles “maintain their airborne properties for hours, and they accumulate in a room that doesn’t have good ventilation.”
“There’s more exposure closer up,” Dr. Michaels said. “But when you’re further away, there’s still a risk, and also these particles stay in the air.”
Donald Milton, an aerosol scientist at the University of Maryland, agreed that federal officials should provide better guidelines for keeping workplaces safe.
“We need better focus on good respirators for people who have to be close to other people for long periods of time,” Dr. Milton said. “A surgical mask, even if it’s tucked in on the edges, is still not really going to give you enough protection if you’re in a meatpacking plant elbow to elbow all day long with other people.”
Health care workers, bus drivers and other workers may also require respirators, Dr. Michaels said. Customers in retail stores should continue to maintain distance from one another and to wear masks, he added; good ventilation is paramount in these settings.” (E)
“They outlined 10 scientific reasons backing airborne transmission in a commentary published online April 15 in The Lancet:
The dominance of airborne transmission is supported by transmission across long distances observed at super-spreader events.
These so-called long-range transmissions have been reported among rooms at COVID-19 quarantine hotels, where infected people never spent time in the same room.
Asymptomatic individuals account for an estimated 33% to 59% of coronavirus transmission, and these patients could spread the virus through speaking, which produces thousands of aerosol particles and few large droplets.
Transmission outdoors and in well-ventilated indoor spaces is lower than in enclosed spaces.
Infections have been reported in health care settings where there protective measures against large droplets (such as masks and personal protection equipment) but not aerosols.
Viable coronavirus has been detected in the air of hospital rooms and in the car of an infected person.
Investigators found coronavirus in hospital air filters and building ducts.
It’s not just humans — infected animals can infect animals in other cages connected only through an air duct.
There is no strong evidence against airborne transmission, and contact tracing shows secondary transmission in crowded, poorly ventilated indoor spaces.
There is only limited evidence that the coronavirus spreads through other ways, such as clothes, furniture and other objects, or through large droplets.” (F)
As the vaccinated percentage of the population increases, you may be wondering whether now is finally the time to enjoy a meal that isn’t homemade or takeout.
Indoor dining and drinking at restaurants and bars is riskier than some other places for a few reasons, according to the US Centers for Disease Control and Prevention: Not only are people from different households gathering in the same space, but you have to take your mask off to eat and drink.
“You still have to be very careful with being in these areas,” said Dr. Ada Stewart, a family physician with Cooperative Health in Columbia, South Carolina, and the president of the American Academy of Family Physicians. “You’re in a crowd, and you don’t know the status of many of these individuals.”
Because of the layout of restaurants, maintaining social distancing may be hard. And since restaurants can be noisy, people might talk louder and more forcefully, which could increase the chance of spreading coronavirus through respiratory droplets. Depending on a restaurant’s ventilation flow, respiratory droplets and air potentially laden with coronavirus can accumulate or spread beyond 6 feet.” (G)
Indoor dining is higher risk than many activities, explains Pierre, “because that involves sitting indoors in situations where there might be not as great ventilation, with people of mixed or unknown vaccination status.”
Find out if the restaurant has good ventilation and spacing between tables and if staff are wearing masks. These practices protect not just you but the staff and any unvaccinated customers. “You can go dine wherever you’d like if you’re vaccinated, but it’s more of the community-mindedness that might want to stop you from eating at a place where they’re not following rules,” says Landon.
And remember, people who are vaccinated may still be able to transmit.
“I would feel very guilty if I harbored it and then gave it to somebody which was not vaccinated, if I was that patient zero,” adds Kullar.
Still, most of our experts said they would eat indoors in a restaurant unless they live in a place experiencing very high community spread. Do wear your mask when the server takes your order, or when walking through the space to the rest room or exit. And if you’ve got unvaccinated kids, leave them at home, Landon says — or dine outside instead.” (H)
“Dr. Anthony S. Fauci said on Sunday that he was open to relaxing indoor masking rules as more Americans are vaccinated against the virus, just two days after the Centers for Disease Control and Prevention belatedly emphasized the danger of airborne transmission.
Dr. Fauci, President Biden’s chief medical adviser for the pandemic, said that as vaccinations climb, “we do need to start being more liberal” in terms of rules for wearing masks indoors, though he noted that the nation was still averaging about 43,000 cases of the virus daily. “We’ve got to get it much, much lower than that,” he said…
Dr. Fauci’s comments on Sunday came in response to a question about comments that Dr. Scott Gottlieb, the former head of the Food and Drug Administration, made last week on CNBC. Dr. Gottlieb said that relaxing indoor mask mandates now — “especially if you’re in environments where you know you have a high level of vaccination” — would give public health officials “the credibility to implement them” again in the fall or winter if cases surge.
Dr. Fauci, asked by George Stephanopoulos on ABC’s Sunday program “This Week” whether he agreed, said: “I think so, and I think you’re going to probably be seeing that as we go along, and as more people get vaccinated.”
“The C.D.C. will be, almost in real time, George, updating their recommendations and their guidelines,” Dr. Fauci continued. “But yes, we do need to start being more liberal as we get more people vaccinated.”…
In a separate interview on Sunday, on CNN’s “State of the Union,” Jeffrey Zients, Mr. Biden’s Covid response coordinator, was somewhat more circumspect than Dr. Fauci when asked about Dr. Gottlieb’s comments.
“I think everyone is tired, and wearing a mask is — it can be a pain,” Mr. Zients said. “But we’re getting there. And the light at the end of the tunnel is brighter and brighter. Let’s keep up our guard. Let’s follow the C.D.C. guidance. And the C.D.C. guidance across time will allow vaccinated people more and more privileges to take off that mask.” (I)
“Governor Andrew M. Cuomo today announced that New York City indoor dining will expand to 75 percent capacity beginning Friday, May 7. This brings New York City in line with the rest of New York State. The Governor also announced that hair salons, barber shops and other personal care services will expand to 75 percent capacity beginning May 7. New York City gyms and fitness centers will expand to 50 percent capacity beginning May 15. All changes are subject to state public health guidance including social distancing and masks…
“After a long and incredibly difficult fight, New York State is winning the war against COVID-19, and that means it’s time to loosen some restrictions put in place to protect the public health and help our local businesses,” Governor Cuomo said. “There’s no doubt that restaurants have been among the pandemic’s hardest hit businesses, and New York City’s thriving restaurant industry has found it challenging to keep staff and maintain profits. We’re easing restrictions on restaurants, personal care services and gyms to put more money in the pockets of small business owners and working people in New York City, which was hit so hard by the pandemic but, I have no doubt, will come back stronger than ever.”” (J)
