- KFF Health News Original Stories 5
- How a Bounty of Vaccines Flooded a Small Hospital and Its Nearby College
- Older Adults Without Family or Friends Lag in Race to Get Vaccines
- Food Guidelines Change but Fail to Take Cultures Into Account
- Tampa’s Mayor vs. a Covid-Era Super Bowl
- ‘An Arm and a Leg’: Tips for Fighting Medical Bills From a Former ‘Bad Guy’ Lawyer
- Political Cartoon: 'The Vaccine Maze'
- Covid-19 3
- CDC Expands Travel Mask Mandates; TSA, Police Empowered To Enforce
- Nearly 100K Died In January; Spread Of Variants Signal 'Race Against Time'
- Study Suggests Timing Of Covid Shot During Pregnancy Could Be Key
- Administration News 2
- Biden To Meet With GOP Senators On Compromise Relief Proposals
- Biden Administration Delays Trump's Drug Pricing Rebate Rule For A Year
From KFF Health News - Latest Stories:
KFF Health News Original Stories
How a Bounty of Vaccines Flooded a Small Hospital and Its Nearby College
An ad hoc, chaotic distribution system is leading to a bizarre mix of vaccine haves and have-nots. (Julie Appleby, )
Older Adults Without Family or Friends Lag in Race to Get Vaccines
Public health officials have singled out seniors as key candidates for the covid-19 vaccines but too many of these seniors are not able to get shots because they don’t use computers, don’t have internet services or transportation, or don’t have someone to help them with the process. (Judith Graham, )
Food Guidelines Change but Fail to Take Cultures Into Account
For decades, the federal government has tried to guide our eating habits. They once again revised recommendations, but they didn’t incorporate ethnic and cultural differences of the American diet. Here’s why. (Chaseedaw Giles, )
Tampa’s Mayor vs. a Covid-Era Super Bowl
Tampa Mayor Jane Castor — an outspoken former cop — has clashed repeatedly with Gov. Ron DeSantis, who has limited what local officials can do to confront the pandemic. But she reached an uneasy peace with the state and is convinced that safeguards instituted by the NFL will help keep crowds safe at the NFL championship game. (Phil Galewitz, )
‘An Arm and a Leg’: Tips for Fighting Medical Bills From a Former ‘Bad Guy’ Lawyer
Jeff Bloom, a lawyer who used to represent medical-bill collectors in court, is sharing what he knows. “I was a bad guy, for sure,” he said. Then, a few years ago, he switched sides. (Dan Weissmann, )
Political Cartoon: 'The Vaccine Maze'
KFF Health News provides a fresh take on health policy developments with "Political Cartoon: 'The Vaccine Maze'" by Signe Wilkinson .
Here's today's health policy haiku:
COVID CONUNDRUM
Case investigate
Contact trace, or vaccinate?
Balance must be found!
- Stephen White
If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.
Opinions expressed in haikus and cartoons are solely the author's and do not reflect the opinions of KFF Health News or KFF.
Summaries Of The News:
CDC Expands Travel Mask Mandates; TSA, Police Empowered To Enforce
It will be a federal offense for anyone over the age of 2 to not wear a face covering on airplanes, trains, subways, buses, taxis and ride-shares. CDC also specified types that don't qualify: face shields, bandanas, masks with exhalation valves and ones that are too big.
AP:
CDC Requires Face Masks On Airlines, Public Transportation
Travelers on airplanes and public transportation like buses and subways will be required to wear face masks starting next week to curb the spread of COVID-19.The U.S. Centers for Disease Control and Prevention issued a mask-wearing rule late Friday that builds on an order announced Jan. 21 by President Joe Biden. The rule “will protect Americans and provide confidence that we can once again travel safely even during this pandemic,” said Dr. Marty Cetron, director of CDC’s division of migration and quarantine, who signed the order. (1/30)
CNBC:
CDC Orders Sweeping U.S. Transportation Mask Mandate As Covid Rages
The order, which takes effect at 11:59 p.m. ET on Monday, requires face masks to be worn by all travelers on airplanes, ships, trains, subways, buses, taxis, and ride-shares and at transportation hubs like airports, bus or ferry terminals, train and subway stations and seaports. ... Under Donald Trump, who was president until Jan. 20, a CDC push to mandate masks in transit was blocked and the agency instead only issued strong recommendations for mask use. Trump also rejected efforts by Congress to mandate mask use. (1/30)
CNN:
Homeland Security Gives TSA Workers Authority To Enforce Biden's Mask Mandate
The Department of Homeland Security said Sunday that Transportation Security Administration workers now have the authority to enforce President Joe Biden's transportation mask mandate "at TSA screening checkpoints and throughout the commercial and public transportation system." (Muntean and Cole, 1/31)
In other news about mask-wearing —
Washington Examiner:
Infectious Disease Expert Says Wearing Two Masks Could Enhance Ability To Get Infected By COVID-19
Michael Osterholm, who was a member of the Biden Transition COVID-19 Advisory Board, gave a second opinion after Dr. Anthony Fauci said last week that doubling up on face masks “likely” provides more protection than wearing just one mask. "When we talk about double masking, remember what we're really talking about is just trying to prevent the virus from being excreted by me into the air or me inhaling the virus from someone else in the air, and it's both a function of face fit and face filtration," Osterholm said during an interview Sunday on NBC's Meet the Press. The director of the Center for Infectious Disease Research and Policy at the University of Minnesota compared face masks to swim goggles, noting that leaks usually happen "at the fit" rather than at the lenses. (Chaitin, 1/31)
CBS News:
Where To Find An N95 Or High-Filtration Mask For Biden's 100-Day Challenge
The goal of the "100 Days Masking Challenge" is to curb the rapid spread of the coronavirus, which has already claimed the lives of more than 400,000 Americans. Indeed, a study published on January 19 in the Lancet Digital Health journal Studies found that increasing mask-wearing across the U.S. by just 10% would significantly curb the transmission of the coronavirus. Mask-wearing is even more effective when the face coverings fit properly and efficiently filter aerosol particles, according to medical experts. (Cerullo, 1/29)
Nearly 100K Died In January; Spread Of Variants Signal 'Race Against Time'
On the good news front: Hospitalizations are dropping from their peak. But health officials warn that any progress may be reversed by the spread of mutant coronavirus strains and that the vaccination pace needs to pick up.
CNN:
Covid-19 Hospitalizations Drop, But January Has Been The Deadliest Month Of The Pandemic. Here's What To Expect Next
For the first time in almost two months, less than 100,000 Americans are hospitalized for Covid-19. Sunday, the United States reported 95,013 Covid-19 hospitalizations, according to data from the COVID Tracking Project. And 97,561 patients were hospitalized Saturday. The last time the number was below 100,000 was December 1. (Maxouris and Yan, 2/1)
The New York Times:
Daily Covid Toll In U.S. Remains Enormous, But Cases Are Falling
The past few weeks in the United States have been the deadliest of the coronavirus pandemic, and residents in a majority of counties remain at an extremely high risk of contracting the virus. At the same time, transmission seems to be slowing throughout the country, with the number of new average cases 40 percent lower on Jan. 29 than at the U.S. peak three weeks earlier. Other indicators reinforce the current downward trend in cases. Hospitalizations are down significantly from record highs in early January. The number of tests per day has also decreased, which can obscure the virus’s true toll, but the positivity rate of those tests has also gone down, indicating the slowed spread is real. Still, the average reported daily death rate over the past seven days remains above 3,000, compared with less than 1,000 per day in September and October. (Leatherby and Gamio, 1/31)
In updates on the coronavirus mutations —
The Washington Post:
Coronavirus Variant First Found In South Africa Has Now Arrived In Maryland
The new variant of the coronavirus first found in South Africa has emerged in a Maryland resident, Gov. Larry Hogan (R) said Saturday, confirming the arrival of a highly transmissible mutation as the region struggles to meet demand for the vaccine. (Schmidt and Flynn, 1/30)
San Francisco Chronicle:
U.K., Brazil Coronavirus Variants Found In Bay Area
Two additional coronavirus variants have been discovered in the Bay Area, making even more urgent California’s commitment to a faster and more efficient distribution of vaccinations across the state. The variants, which originated in Brazil and the United Kingdom and have spread to numerous countries, were identified in the Bay Area by scientists at Stanford University’s Clinical Virology Lab, spokeswoman Lisa Kim confirmed Sunday. She provided no information on the location of the infections but said they were reported to public health authorities on Thursday from samples “collected less than two weeks prior to reporting.” (Sanchez, 1/31)
The Hill:
Top FDA Official: Agency Working On 'Streamlined' Process For Updating Vaccines If Needed
A top Food and Drug Administration (FDA) official said Friday that the agency will try to have a "streamlined" process for authorizing any updates that are required for COVID-19 vaccines to adapt to the threat of new variants. "We would intend to try to be pretty nimble with this," said Peter Marks, the head of the FDA center that reviews vaccines, during a webinar hosted by the American Medical Association. (Sullivan, 1/29)
Experts stress the need for quick action to fight the mutations —
The Hill:
Fauci: Virus Mutations Are A 'Wake-Up Call'
The emergence of new coronavirus variants should be a "wake-up call" for the country, Anthony Fauci said Friday. During a White House coronavirus briefing, Fauci, the director of the National Institute of Allergy and Infectious Diseases, said that the different mutations have "clinical consequences" that will need to be addressed. (Weixel, 1/29)
The Hill:
Biden Coronavirus Adviser Says We 'Have To Call An Audible' On Vaccine Distribution
Michael Osterholm, a Biden transition team adviser on the coronavirus, said on Sunday the country has to “call an audible,” in regards to COVID-19 vaccine distribution, warning a new surge caused by the U.K. variant is likely to occur in the next few months. (Choi, 1/31)
CNN:
US Coronavirus: America Is In An 'Absolute Race Against Time' With New Coronavirus Variants, Expert Says
The US is in an "absolute race against time" to vaccinate as many people as possible before new Covid-19 variants take hold of the country, one expert said Sunday. "We have a little breathing room right now, but if these new variants become dominant in our country, we are going to be right back where we were in November and December and perhaps even worse," emergency physician Dr. Megan Ranney told CNN. (Maxouris, 2/1)
Study Suggests Timing Of Covid Shot During Pregnancy Could Be Key
A study published Friday in JAMA Pediatrics found more evidence that women are not only transferring covid antibodies to their fetuses but also transferring more if they are infected earlier in their pregnancies.
The New York Times:
Evidence Builds That Pregnant Women Pass Covid Antibodies To Newborns
One of the many big questions scientists are trying to untangle is whether people who get Covid-19 during pregnancy will pass on some natural immunity to their newborns. Recent studies have hinted that they might. And new findings, published Friday in the journal JAMA Pediatrics, provide another piece of the puzzle, offering more evidence that Covid-19 antibodies can cross the placenta. (Caron, 1/29)
CIDRAP:
COVID-19 Antibodies Transmit From Moms To Babies During Pregnancy
Because placental antibody transfer begins at about 17 weeks of gestation and rises exponentially from then on, vaccinating mothers early in the second trimester might be optimal to achieving high antibody levels in newborns, she said. "While a serologic correlate of protection against SARS-CoV-2 infection and symptomatic or severe disease is unknown at this time, higher antibody levels might result in a better chance for protection of the newborn during a period of special vulnerability," said Flor Munoz, MD, of Baylor College of Medicine. (Van Beusekom, 1/29)
Also —
CIDRAP:
COVID Inflammatory Syndrome In Kids Ranges From Mild To Life-Threatening
An international survey of 183 pediatric patients with the rare but serious COVID-19–related multisystem inflammatory syndrome in children (MIS-C) shows broad clinical presentations, from mild illness featuring fever and inflammation to life-threatening shock similar to that of Kawasaki disease (KD).The study, led by researchers at Royal Brompton Hospital in London and published today in Pediatrics, was a retrospective case series of children younger than 18 years diagnosed as having MIS-C who were released from the hospital or died from Mar 1 to Jun 15, 2020, from 33 hospitals in American, Asian, and European countries. (1/29)
The Hill:
Fauci Hopes To See Vaccinations For Children By 'Late Spring And Early Summer'
Top infectious diseases expert Anthony Fauci said on Friday during a White House coronavirus briefing that he would like to see vaccines against the disease extended to children within the next few months. “Hopefully by the time we get to the late spring and early summer we will have children being able to be vaccinated,” Fauci said. (Lonas, 1/29)
Biden To Meet With GOP Senators On Compromise Relief Proposals
Both sides talk today as a group of 10 Republican senators push President Joe Biden to negotiate a bipartisan package.
The Washington Post:
Biden To Meet With Senate Republicans Offering Covid Relief Counter-Proposal
President Biden intends to meet on Monday with 10 GOP senators who are calling on him to make a bipartisan deal instead of forging ahead with a party-line vote on his $1.9 trillion coronavirus relief plan. The group announced plans Sunday to release an approximately $600 billion coronavirus relief package as a counter-proposal to Biden’s much larger plan, posing a test for the new president who campaigned on promises to unify Congress and the country. (Werner, Stein and Kim, 1/31)
Politico:
Biden Agrees To Meeting With GOP Senators On Covid Relief
In a letter to Biden sent on Sunday, the 10 Senate Republicans informed the president that they are working on a counterproposal focusing on spending $160 billion on vaccines, testing, treatment and personal protective equipment. Led by Collins, the senators said that if Biden signs off on their framework, “we believe that this plan could be approved quickly by Congress with bipartisan support.” “In the spirit of bipartisanship and unity, we have developed a COVID-19 relief framework that builds on prior COVID assistance laws, all of which passed with bipartisan support,” the senators wrote to Biden. “We request the opportunity to meet with you to discuss our proposal in greater detail and how we can work together to meet the needs of the American people during this persistent pandemic.” (Everett, 1/31)
The Hill:
Sanders Says Democrats Have The Votes To Pass Another Relief Bill
Sen. Bernie Sanders (I-Vt.) on Sunday said that he believes Senate Democrats have the votes to pass another COVID-19 relief package. In an appearance on ABC's “This Week,” he was asked by host Martha Raddatz if he believes Democrats have enough votes as bipartisan support for a relief bill appears to dwindle. “Yes, I believe that we do because it's hard for me to imagine any Democrat, no matter what state he or she may come from, who doesn't understand the need to go forward right now in an aggressive way to protect the working families of this country,” Sanders said. (Choi, 1/31)
In related news about covid's economic toll —
CIDRAP:
GAO Reiterates Need For Better COVID-19 Supply Chain, Relief Effort Tracking
Two days ago, the Coronavirus Aid, Relief, and Economic Security (CARES) Act entered its 10th month, and a US Government Accountability Office (GAO) report today says 27 of 31 previous implementation recommendations have not been resolved. This is the fifth report regarding the CARES Act, and as such, it covers similar topics as in its previous editions, including medical supply chains and program integrity, although its 13 new recommendations reflect the pandemic's progression. (McLernon, 1/29)
Biden Administration Delays Trump's Drug Pricing Rebate Rule For A Year
Prohibiting pharmaceutical manufacturers and pharmacy benefit managers from negotiating prescription drug rebates is one of three Trump administration regulatory actions that the Biden administration is pausing.
Stat:
Biden Administration Pumps Brakes On Signature Trump Drug Pricing Proposal
The Biden administration has agreed to delay for a year the implementation of one of President Trump’s signature drug pricing policies. The policy at issue would prevent drug makers and middlemen from negotiating rebates on prescription drugs. The prohibition was scheduled to go into effect in January 2022, but the Biden administration agreed to delay it until 2023, a court order filed Saturday showed. (Cohrs, 1/31)
Modern Healthcare:
CMS Pauses Organ Procurement, Part D E-Prescribing Rules
The Biden administration on Friday paused two Trump-era regulations affecting organ procurement organizations and Part D prescription drug plans. CMS delayed a rule that would revamp quality reporting measures to boost transparency in the organ procurement and transplantation process, according to the agency. It also pushed back a rule that would mandate Part D plans to support a new electronic prior authorization standard for their Part D e-prescribing plans. Both regulations were set to take effect on Feb. 1 but will now start on Mar. 30. It's unclear whether the Biden administration will ultimately move forward with either rule. (Brady, 1/29)
In other news related to the Trump administration —
Politico:
Biden Toughens Workplace Safety Guidelines But Lets Stand DPA Meat Production Order
President Joe Biden set a record for the flurry of executive actions he issued on his first day in office. But despite his calls on the campaign trail for tougher worker safety enforcement during the pandemic, one Trump-era executive action is still in place that worker safety advocates have argued would allow unsafe meat producers to remain open. ... Several meat companies have cited the executive order in court to challenge lawsuits over Covid-19-related worker illnesses and deaths. (Rainey, 1/31)
The Hill:
GAO: Trump Administration Spent $200M To Send Foreign Nations 8,700 Ventilators
A new report from the Government Accountability Office (GAO) shows that the Trump administration spent $200 million to send 8,722 ventilators to other countries during the coronavirus pandemic last year. The watchdog found that the initiative was not based on guidance from U.S. Agency for International Development (USAID). The GAO is not sure what guidelines Trump was using for the distributions of ventilators. (Lonas, 1/29)
Stat:
Trump Officials Lobbied To Deny States Money For Vaccine Rollout Last Fall
Top Trump officials actively lobbied Congress to deny state governments any extra funding for the Covid-19 vaccine rollout last fall — despite frantic warnings from state officials that they didn’t have the money they needed to ramp up a massive vaccination operation. (Florko, 1/31)
Vaccine Sites Close As Snowstorm Looms
News reports look at doses deemed safe in Vermont, a protest that delayed vaccinations outside Dodger Stadium and more.
The New York Times:
Snowstorm Disrupts Vaccinations Across Northeast
Vaccine sites in the New York metro area are closing Monday because of a looming winter storm that is expected to dump up to 16 inches of snow on the region. Winter storm warnings were in place for a large swath of the eastern United States on Sunday, disrupting vaccinations in Washington, D.C., Philadelphia, New Jersey and elsewhere. At a news conference on Sunday, Mayor Bill de Blasio said he did not want older New Yorkers on the road traveling to vaccine appointments, warning of blizzard-like conditions with gusty winds. Vaccinations scheduled for Tuesday in New York City have not been canceled, for now, Mr. de Blasio said. (2/1)
The Baltimore Sun:
Coronavirus Vaccination And Testing Sites Close As Snowstorm Hits The Baltimore Area
Several Maryland coronavirus vaccination and testing locations run by the state and the counties announced closures Sunday amid heavy snow, in a development that may briefly hamper the state’s effort to combat COVID-19. (Condon, 1/31)
In other news about the covid vaccine rollout —
Burlington Free Press:
COVID Vaccine Doses Thought To Be Spoiled In Vermont Are Safe For Use
Hundreds of COVID-19 vaccine doses thought to be spoiled in Vermont have been deemed safe for use by the manufacturer, Moderna. Vermont officials announced earlier this week that the viability of 860 doses at Springfield Hospital was in question because it appeared they had been stored at a temperature that was 1 degree higher than required. General guidance from Moderna indicated that doses may need to be discarded as a result, the Vermont Health Department said. After a comprehensive review over the last few days, Moderna determined the doses were not impacted by temperature inconsistencies and could be used with "full public confidence," a news release stated. (Murray, 1/29)
NPR:
LA COVID-19 Vaccinations Delayed By Protesters
For nearly an hour Saturday, about 50 vaccination opponents and right-wing supporters of former President Donald Trump delayed COVID-19 vaccinations when they protested at the entrance to Dodger Stadium, the site of a mass vaccination campaign. Holding signs that said things such as "COVID=Scam," "Don't be a lab rat" and "Tell Bill Gates to go vaccinate himself," the protesters caused the Los Angeles Fire Department to close the stadium entrance as a precaution. People in hundreds of cars, waiting in line for hours, had to wait even longer. The site was shut down around 2 p.m. Saturday as several Los Angeles Police Department officers arrived at the scene. No arrests were made, and by 3 p.m., the site was reopened. "We will not be deterred or threatened," California Gov. Gavin Newsom said on Twitter. (Schwartz, 2/1)
Philadelphia Inquirer:
Philadelphia Deputy Health Commissioner Resigns Following Philly Fighting COVID Controversy
Deputy Health Commissioner Caroline Johnson has resigned after records obtained by The Inquirer show she gave an advantage in a city bidding process to Andrei Doroshin, Philly Fighting COVID’s young CEO who until this week the city entrusted to run its largest vaccination site. Johnson sent a similar message of advice to the Black Doctors COVID-19 Consortium, which was provided to The Inquirer by Health Department spokesperson James Garrow. In late December, emails obtained by The Inquirer show Johnson messaged Doroshin about the city’s requests for proposals to administer vaccines. Although the RFPs had been publicly posted, officials are not permitted to selectively encourage people to apply. The Health Department was unaware of this email until questions from The Inquirer. (Silverman, Rushing, Goodin-Smith and Feliciano Reyes, 1/30)
San Francisco Chronicle:
'Nightmare' Of Confusing Tech, Guidelines Thwart Bay Area Seniors Trying To Get Vaccinated
California health care providers are desperately trying to get vaccine shots in arms as fast as possible. While numbers are improving, a chaotic rollout created a confusing maze of different rules and directions, depending on each county and provider. Now the state is prioritizing older people, yet many are still struggling to make an appointment, much less get to the vaccination site. Getting a shot can require internet savvy, a cell phone and a car. The irony is that the highest-risk seniors can have the hardest time finding information about whether they’re eligible, navigating technology to book a slot, or mustering the physical strength to get to vaccine sites and sometimes wait in line to get the shot. The process can be even harder for seniors with cognitive impairment or English language barriers. (Moench, 1/29)
Also —
KHN:
Older Adults Without Family Or Friends Lag In Race To Get Vaccines
A divide between “haves” and “have-nots” is emerging as older adults across the country struggle to get covid-19 vaccines. Seniors with family members or friends to help them are getting vaccine appointments, even if it takes days to secure them. Those without reliable social supports are missing out. Elders who can drive — or who can get other people to drive them — are traveling to locations where vaccines are available, crossing city or county borders to do so. Those without private transportation, are stuck with whatever is available nearby. (Graham, 2/1)
KHN:
How A Bounty Of Vaccines Flooded A Small Hospital And Its Nearby College
When administrators at Hillsdale College, a conservative liberal-arts school in Michigan, heard its local hospital didn’t have a way to store the Pfizer-BioNTech covid vaccine, they offered the use of its science department’s ultra-low temperature freezer. The vaccine must be stored at minus 94 degrees Fahrenheit. With that help, the small hospital — employing about 400 — was able to receive vaccines from the state: 1,950 doses in late December, more than twice what it requested, according to the hospital CEO. (Appleby, 2/1)
Vaccine Roulette: Pickiness Over Maker Of Shot Could Delay Rollout More
It's remarkable that there are multiple covid vaccines at all — yet the differences in efficacy and number of doses prompts some people to hold out for the one they want, which could further complicate the sluggish vaccination process.
Stat:
More Covid-19 Vaccines Bring Choices And Complications To Rollout
It’s always good for consumers to have options, right? And indeed, the United States should soon have three Covid-19 vaccines being injected into people’s arms, with more potentially on the way in the coming months, accelerating the race to vaccinate hundreds of millions of people as quickly as possible. (Joseph and Goldhill, 1/29)
The New York Times:
Which Covid Vaccine Should You Get? Experts Cite The Effect Against Severe Disease
At first glance, the results reported on Friday from the long-awaited trial of Johnson & Johnson’s coronavirus vaccine might have seemed disappointing. Its overall efficacy — the ability to prevent moderate and severe disease — was reported at 72 percent in the United States, 66 percent in Latin American countries and 57 percent in South Africa. ... But researchers warn that trying to compare effectiveness between new studies and earlier ones may be misleading, because the virus is evolving quickly and to some extent the trials have studied different pathogens. (Grady, 1/29)
Bloomberg:
Pfizer or Sputnik? Race to Inject Prompts Calls for Choice
Many people who’ve been boning up on efficacy rates, dosing schedules or side effects want to decide for themselves. If the options are a shot from a Western drugmaker that’s been vetted by an independent regulator or one from a Russian or Chinese lab with lesser transparency, that desire is even greater. “We demand the government to provide people the freedom of choice,” said Gergely Arato, a member of the opposition Democratic Coalition party in Hungary. Hungary broke ranks with other EU members to approve Russia’s Sputnik V and a vaccine from China’s Sinopharm Group Ltd. alongside the three shots cleared by Europe’s drug regulator -- from Pfizer Inc., Moderna Inc. and AstraZeneca. While Prime Minister Viktor Orban is technically offering choice, his promotion of the Chinese and Russian shots is endangering people’s “willingness to get vaccinated,” Arato said at a press conference this month. (Loh, 1/31)
Some people are still hesitant to get any of the covid vaccines —
The Wall Street Journal:
Some Health-Care Workers Are Still Saying No To A Covid-19 Vaccine
Efforts to disseminate Covid-19 vaccines as widely as possible are hitting an unexpected obstacle: health-care workers who decline the shots. Officials from Ohio said recently that 60% of nursing-home staff so far haven’t elected to take the vaccine. In New York, Gov. Andrew Cuomo said this month that state officials expect 30% of health-care workers offered the vaccine will ultimately turn it down. Two-thirds of the staff at a Florida hospital refused the vaccine this month, leaving so many unused doses that the facility started giving away shots to the general public. (Wernau, 1/31)
Politico:
Social Media ‘Micro-Influencers’ Join Effort To Get America Vaccinated
Health care providers scrambling to build trust in Covid-19 vaccines are amassing a digital army to win over skeptics, enlisting everyone from faith leaders to social media stars to promote confidence in the shots — especially in hard-to-reach communities. ... Local health care leaders said they are purposefully eschewing big-name celebrities or splashy PR campaigns. Instead, they are aiming to pull in a broad range of voices, including many who don’t boast of huge online followings but hold sway in their communities. Many of the campaigns target communities of color who have been especially devastated by the coronavirus but are also more hesitant to get vaccinated. For those with limited internet access, they’re hosting informational phone conferences with doctors and nurses who patients already are likely to know. (Ravindranath, 1/30)
Bay Area News Group:
How COVID-19's Immunity Certificates Could Restore Our Lives Or Divide Us
Imagine a future when a single document determines whether you work, play or travel. That scenario – a system of “immunity certification” that grants privileges to those vaccinated against the COVID-19 virus – is now being deliberated by a growing number of global businesses and governments, anxious to control the disease and also restore the economy. The debate comes at a time when millions of people, slowly but surely, are getting vaccinated and are restless to return to their pre-pandemic lives. Yet many millions of others are forced to wait. “People are starting to ask: ‘Why should I be subject to restrictions if I don’t actually pose a risk to other people?'” said David Studdert, a professor of medicine and law at Stanford University. “One way or another, it seems like ‘immunity certification’ is coming our way.” (Krieger, 1/31)
Lack Of Trust, Access Creates Chasm Between Blacks, Whites In Rollout
Some states, including Oregon and Texas, are considering prioritizing people of color in the next rounds of vaccinations, The Hill reports.
The Hill:
Communities Of Color Getting Left Behind In Vaccine Rollout
States are struggling to deliver more COVID-19 vaccines to communities of color as scrutiny increases over a racial inequity in the number of shots administered across the country. Officials have grappled with how to fairly distribute limited supply of Pfizer and Moderna vaccines, often prioritizing the elderly, health care workers and other front-line workers for the first doses. (Hellmann and Johnson, 1/30)
Cincinnati Enquirer:
COVID-19: Under 5% Of Black Ohioans Have Gotten At Least 1 Shot
Six weeks into Ohio’s distribution of the COVID-19 vaccine, the campaign has largely missed the state’s 1.5 million Black residents due to a lack of supply, a lack of access and a lack of trust in the medical establishment. Fewer than 5% of Ohio residents who’ve gotten at least one injection are Black, although Black Ohioans have constituted nearly 20% of the state's pandemic hospitalizations and 12% of deaths. (Saker and Demio, 1/31)
Houston Chronicle:
Vaccine Data Troubles Raise Equity Concerns For Black, Latino Texans
At the onset of the pandemic and again with the vaccine rollout, Texas officials have struggled to gather data critical to protecting Black and Hispanic Texans who are among those at higher risk of serious complications from COVID-19. Almost two months into the vaccine distribution, the Department of State Health Services promised Thursday to begin requiring all providers to report race and ethnicity data for all vaccine recipients. That pledge came after advocates and health experts raised concerns that the information was missing for nearly half of the 1.8 million Texans who have received at least one dose of the vaccine. (Harris and Bureau, 1/31)
AP:
Vaccine Skepticism Lurks In Town Famous For Syphilis Study
Lucenia Dunn spent the early days of the coronavirus pandemic encouraging people to wear masks and keep a safe distance from each other in Tuskegee, a mostly Black city where the government once used unsuspecting African American men as guinea pigs in a study of a sexually transmitted disease. Now, the onetime mayor of the town immortalized as the home of the infamous “Tuskegee syphilis study” is wary of getting inoculated against COVID-19. Among other things, she’s suspicious of the government promoting a vaccine that was developed in record time when it can’t seem to conduct adequate virus testing or consistently provide quality rural health care. (Reeves, 2/1)
Life Insurers Start Screening For Covid; College Campuses Launch Testing Labs
Meanwhile, those who are frustrated with slow government testing eye ways to provide it for their communities.
Axios:
Life Insurers Screen For COVID-19
Because of the pandemic, more people than ever are seeking out life insurance — just as insurers seek ways to identify people who have had COVID-19, and in some cases deny them coverage. ... Alarmed at clampdowns by underwriters in Europe, the Consumer Federation of America (CFA) just sent a letter to the National Association of Insurance Commissioners urging that U.S. insurance firms establish clear and transparent rules on life insurance eligibility and COVID-19. (Kingson, 2/1)
In other covid testing news —
Clarion-Ledger:
COVID-19 Testing: College Campuses Creating Their Own Testing Labs
To an outsider, the large, brown metal structure sitting in a non-descript passageway on the Belhaven University campus in Jackson might seem a bit out of place. The only indication of what's actually inside are signs marking how much longer students wait to get inside and stickers on the sidewalk showing six feet of distance. Belhaven has installed the COVID-19 testing center — and a full lab — to not only keep students and staff safe, but to also keep them on campus. Several colleges and universities across the U.S. made the decision to go virtual in the fall due to the pandemic and while some have since returned to physical classrooms, many remain shuttered. Belhaven chose not to be one of them. (Rowe, 2/1)
Boston Globe:
Frustrated With The Government’s Virus Response, Citizens Are Building Their Own Testing Programs. And It’s Working
If you want fast, reliable, accessible COVID-19 testing in Massachusetts, it helps if you know a guy who knows a guy. Especially if you have the time and money — and that guy is a scientist. Frustrated by the lack of an overarching state or federal strategy for COVID-19 testing, an increasing number of local organizations are rolling up their sleeves and figuring out how to create their own testing programs, part of a desperate effort to return to normalcy as the pandemic drags on and solutions — amid a bumpy vaccine rollout — still seem far off. In Needham, one woman launched a Jewish temple school’s testing program, serving about 400 students and teachers, and is now considering buying lab equipment. In Brookline, staff at a low-income senior housing complex secured rapid tests for staff, residents, and their visitors. And in Wellesley, a group of parents pioneered their own surveillance testing program to monitor COVID’s presence in the public school district there, complete with a barcode scanning app to link names and samples that they built themselves. (Krantz, 1/31)
The Wall Street Journal:
The NFL’s Covid-19 Finding That Saved The Season
People were testing positive for the virus even though they had spent far less than 15 minutes or weren’t within six feet of an infectious person—and the league had the contact-tracing technology to prove it. “That was a wake-up call,” said Dr. Allen Sills, the NFL’s chief medical officer. “We had to be more precise in our definition of high-risk close contacts because clearly transmission could occur outside those basic boundaries of time and distance.” (Beaton and Radnofsky, 1/31)
In obituaries —
The Hill:
Rutgers Researcher Who Developed First COVID-19 Saliva Test Dies
A Rutgers University research professor who developed the first COVID-19 saliva test died of a heart attack earlier this month in New York City, The New York Times reported on Sunday. Andrew Brooks died at age 51 on Jan. 23, about 10 months after changing the game for COVID-19 testing with his spit test that allowed testing to increase significantly. (Coleman, 1/31)
Wanting More Proof, FDA Delays Decision On Alzheimer's Drug
The government had initially said it would decide by March 7 whether to approve aducanumab, but the agency has pushed it to June 7.
Stat:
FDA Delays Approval Decision For Biogen’s Alzheimer’s Treatment
The Food and Drug Administration is delaying its decision on Biogen’s closely watched Alzheimer’s drug aducanumab, requesting more evidence that the treatment can slow the cognitive decline associated with the disease, the company said Friday. The FDA had promised to render a decision on the approval of aducanumab by March 7. The process is now being extended by three months to June 7, the company said. (Feuerstein and Garde, 1/29)
Stat:
The FDA Delayed Its Decision On Biogen’s Alzheimer’s Drug. Now What?
The Food and Drug Administration’s decision to take three extra months to review Biogen’s controversial Alzheimer’s drug has brought more questions than answers, further complicating the future of what would be the first new treatment for the disease in nearly 20 years. (Garde and Feuerstein, 2/1)
In other pharmaceutical industry news —
The Hill:
McKinsey & Co Close To Deal With State AGs For Role In Opioid Crisis: Report
Management consulting firm McKinsey & Co. is reportedly nearing a settlement with state attorneys general following the release of court filings indicating that it made recommendations to Purdue Pharma and other manufacturers accused of playing a role in the nation’s deadly opioid epidemic. The Wall Street Journal reported the potential settlement Friday, citing people familiar with the matter. (Castronuovo, 1/29)
Stat:
Amgen’s KRAS-Blocking Drug Proves Effective For Lung Cancer Patients
A drug from Amgen designed to block the cancer protein known as KRAS shrank tumors in 37% of patients with advanced lung cancer and delayed tumor progression by just under seven months, according to results from a clinical trial announced Thursday. (Feuerstein, 1/28)
The New York Times:
How The Search For Covid-19 Treatments Faltered While Vaccines Sped Ahead
Nearly a year into the coronavirus pandemic, as thousands of patients are dying every day in the United States and widespread vaccination is still months away, doctors have precious few drugs to fight the virus. A handful of therapies — remdesivir, monoclonal antibodies and the steroid dexamethasone — have improved the care of Covid patients, putting doctors in a better position than they were when the virus surged last spring. But these drugs are not cure-alls and they’re not for everyone, and efforts to repurpose other drugs, or discover new ones, have not had much success. (Zimmer, 1/30)
Demand For Home Care Workers Has Risen 125% Since March, NAHC Says
More families are turning to home care workers because it's "probably [a] more protective environment ... for individuals that are trying to avoid the virus," said William Dombi, president of The National Association of Home Care and Hospice.
Fox News:
Coronavirus Sees Uptick In Demand For Home Care Workers
According to the National Association of Home Care and Hospice there’s a 125 percent increase in demand for home care workers. William Dombi the president of NAHC, said the demand intensified in March and has been a full force ever since. "It is a viable and probably more protective environment for care for individuals that are trying to avoid the virus," Dombi said. Although many patients are vulnerable to the virus, Dombi said home care workers are at risk too. "By our estimations, there are tens of thousands of actively infected COVID patients under the care of home care providers today. We’ve also seen deaths.. we have had home care workers die from COVID-19," Dombi said. (Whitfield, 1/31)
In other health care industry news —
Modern Healthcare:
Patient-Reported Outcomes Tool For Hernia Surgery Improves Care
Hernias are among the most common conditions in the U.S. and for some patients, surgery is recommended to ease the pain and discomfort they typically cause. But research shows hernia repair surgeries—nearly 1 million are performed every year—aren’t foolproof. Patients can have recurrent hernias or experience continued discomfort that sometimes require additional procedures. Interested in understanding how effective hernia repair surgery is in improving quality of life for specific patient populations, Dr. John Fischer, associate professor of surgery at Penn Medicine who performs the procedure, began over five years ago exploring a patient-reported outcomes tool specifically for this surgery. Patient-reported outcomes are quality measures that assess quality of life for a patient and have become increasingly more popular in recent years across disease states. (Castellucci, 1/30)
Modern Healthcare:
HIPAA Patient Privacy Law Due For An Overhaul, Experts Say
The Health Insurance Portability and Accountability Act—HIPAA—turns 25 years old in August, and experts say it’s time for the patient privacy law to finally live up to its promise. While HIPAA mostly succeeded in safeguarding patient health information created in the healthcare system, it hasn’t enabled widespread information sharing and doesn’t really protect health-relevant information outside the traditional healthcare system. Most experts agreed the nation’s health privacy rules are long overdue for an overhaul, given all the changes that have taken place in healthcare and technology since 1996, though some insiders think the current regulatory system works well enough. (Brady, 1/30)
KHN:
‘An Arm And A Leg’: Tips For Fighting Medical Bills From A Former ‘Bad Guy’ Lawyer
Lawyer Jeff Bloom used to be the person whom medical providers and debt collectors would hire to represent them in court. “I was a bad guy, for sure,” he said. Then, a few years ago, he switched sides. Bloom now represents consumers and, in this episode, shares what he knows. He said consumers have more rights than they may realize, although enforcing those rights may be tough. (Weissmann, 2/1)
Dietary Guidelines Fall Short, Overlook Cultural Differences, Critics Say
The government's guidelines focus on lower intake of sodium, sugar, saturated fats, and alcohol, but health experts say they don't go far enough, especially in reducing sodium found in processed foods.
KSAT:
Federal Government Updates Dietary Guidelines
This past December, the federal government updated its dietary guidelines, which will be the standard for the next five years. Cleveland Clinic registered dietician Kristin Kirkpatrick said the guidelines can help all of us make the right choices. “They’re kind of a big deal in the sense that they help to set the structure for things like food stamps and school lunch programs and things like that. They’re also meant to give just some general guidance to Americans on what we should look at with our diet,” Kirkpatrick said. The latest guidelines include some notable changes. (Hernandez, 1/31)
The Washington Post:
Americans Can’t Cut Back On Salt. One Likely Reason: Packaged And Prepared Foods Are Filled With It.
The recently released 2020-2025 Dietary Guidelines from the Agriculture Department remind Americans that they should consume less than 2,300 milligrams of salt a day — equivalent to about a teaspoon. Instead, we eat nearly 50 percent more than that, according to the Centers for Disease Control and Prevention. The recommendation is the same as in the earlier 2015-2020 guidelines, yet the average American has not cut down on salt, still consuming an average of more than 3,400 mg daily, according to the CDC. (Cimons, 1/31)
KHN:
Food Guidelines Change But Fail To Take Cultures Into Account
The U.S. Department of Agriculture and the Department of Health and Human Services have once again developed new food guidelines for Americans that urge people to customize a diet of nutrient-dense food. For the first time, they make recommendations for infant nutrition and for different stages of life. But, as in past iterations, they lack seasoning. They do not acknowledge the nuances of culture and ethnicity at the heart of how Americans feed themselves. (Giles, 2/1)
In other public health news —
Chicago Sun-Times:
Jesse Jackson Hospitalized, Recovering After Surgery
The Rev. Jesse Jackson was hospitalized last week and underwent what family is describing as minor surgery, the Chicago Sun-Times has learned.The 79-year-old founder and president of the Rainbow PUSH Coalition is recovering at Northwestern Memorial Hospital, sources said. “I can say that yes, Rev. Jackson is at Northwestern hospital. And yes, he did have a successful operation,” said PUSH Public Policy Director Frank Watkins, his longtime right hand. “I personally don’t know all the details, so I don’t want to get into that. I know that he is resting comfortably, and that he is expected home in a couple of days.” The civil rights leader was hospitalized Thursday and rushed into surgery, sources said. (Ihejirika, 1/31)
The Washington Post:
How To Use Airflow In A Car To Stay Safe From Covid
Varghese Mathai is a physicist at the University of Massachusetts at Amherst who studies the flow of fluids and gases. He conducted a study using computational fluid dynamics simulations to understand how air flows inside a car and its implications for covid-19 airborne transmission. In this interview, he explains the optimal ways to ensure maximum airflow inside a car. (1/31)
Bloomberg:
More Older Americans Stay On The Job. Working From Home Helps
The pandemic is extending the trend of older Americans working longer -- and giving up long commutes is part of the reason. Today, roughly 1 in 5 adults aged 65 and older remain on the job, according to the Bureau of Labor Statistics. In the mid 1980s, the ratio was closer to 1 in 10. Although the number of older workers dipped in the initial stages of the pandemic along with employment overall, it has since rebounded and anecdotal evidence suggests working from home has helped. “Certainly working out of the home is a much more comfortable environment because my commute is 35 seconds and I don’t necessarily have to deal with office politics,” said Ray Bjorklund, the retirement-age owner of Birchgrove LLC, a market-analysis firm. (Tanzi, 1/30)
School Reopening Plans In Chicago And California Stuck In Limbo
On Monday, the possibility of a teachers' strike grew in Chicago after last-minute negotiations stalled.
AP:
Chicago Schools Reopening Uncertain As Union Talks Stall
A plan to reopen Chicago schools remained in limbo as last-minute negotiations over COVID-19 safety measures with the teachers’ union stalled Sunday, amplifying the possibility of a strike or lockout. Roughly 62,000 students and about 10,000 teachers and staff in K-8 were expected to start school Monday for the first time since last March, part of the district’s gradual reopening plans during the pandemic. Mayor Lori Lightfoot said Sunday she still expected all teachers, including those in pre-K and special education who started in-person earlier in January, to show up Monday. But she pushed back students’ arrival until Tuesday over staffing concerns, saying remote learning would be extended a day. (Tareen, 2/1)
AP:
California Governor And Unions Clash Over School Openings
An effort to reopen California schools is foundering, stoking frustrations across America’s most populous state from parents eager to get their children back in classrooms and a governor who wants them there. Parents and behavioral experts say many schoolchildren are feeling helpless or depressed and need a classroom setting to improve their mental health. An exasperated Gov. Gavin Newsom told school officials last week to “pack it up” if they fail to resume in-person classes soon. Teacher unions say they won’t send their members into an unsafe environment. They want all teachers vaccinated before returning to the classroom. (Gecker, 2/1)
In news from Florida, Massachusetts and Utah —
KHN:
Tampa’s Mayor Vs. A Covid-Era Super Bowl
With its lively music scene and Ybor City historical district full of bars and restaurants, Tampa has a nightlife hard to beat anywhere in Florida. The city will have a big reason to party on Sunday — as the site of Super Bowl LV and the first city to host its own football team, the Tampa Bay Buccaneers, in the championship game. The expected arrival of thousands of exuberant fans and the usual celebrations that mark the Super Bowl would seem to be a logistical headache for Mayor Jane Castor, who sought unsuccessfully last year to close bars in the city to stop the spread of covid-19 and has clashed with the state’s Republican governor about the wisdom of rapidly opening up. (Galewitz, 2/1)
The Hill:
Gyms, Movie Theaters, Museums Can Reopen In Boston Monday
Gyms, movie theaters, museums and a slate of other businesses are set to open in Boston on Monday as the city moves into the next phase of its coronavirus reopening plan. The businesses will open at a 25 percent capacity limit, according to the city’s reopening plan. (Pitofsky, 1/31)
Salt Lake Tribune:
Utah Lawmakers Want To Remove Requirement For Students To Get A Doctor’s Note When They’re Sick
Utah students would no longer need to get a doctor’s note to have an absence excused at school when they’re out sick under a new bill passed in committee this week.
Instead, the measure — HB116 — would only require a parent to call in to their kid’s school to validate the missed day was for an illness. And that could include mental health, with a second bill running alongside it.
Rep. Adam Robertson, R-Provo, said his proposal is largely meant to help families avoid unnecessary medical expenses. If a kid has a stomachache or a migraine, there’s likely no reason to take them to the doctor and they just need a day to rest, Robertson said. But if a school requires a note for the absence, a family might have to decide if it’s worth spending $100 to go in to their physician. And some, he added, can’t afford that. (Tanner, 1/30)
In news about marijuana and drug decriminalization —
USA Today:
Oregon Decriminalizes All Drugs, Offers Treatment Instead Of Jail Time
The law goes into effect Monday and will be implemented over the next decade by the state officials at the Oregon Health Authority. Advocates say the pivot will be life-changing for thousands of Oregonians. “One of the things people misunderstand is how criminalization creates barriers to treatment,” says Kassandra Frederique, the executive director of the Drug Policy Alliance, a national nonprofit dedicated to legalizing illicit drug use. “If we want people to make different choices, we have to give them more options ... ending criminalization will do leaps and bounds around ending shame, which automatically opens people up for other opportunities.” (Schnell, 2/1)
AP:
WVa Medical Cannabis Patient Registration To Start This Week
Nearly four years after West Virginia lawmakers allowed a regulatory system to be established for medical cannabis products, eligible residents can start registering to eventually receive them. Residents with serious medical conditions can start registering Wednesday at www.medcanwv.org. Patient cards that will be issued will be valid only in West Virginia. (2/1)
Crain's New York Business:
Potent Marijuana Faces Stiff Taxes Under N.Y. Proposal
The stronger the pot, the greater the tax. New York Gov. Andrew Cuomo’s latest swing at legalizing recreational marijuana in the state includes a new twist on taxation. Marijuana would be taxed based in part on its potency, measured by the level of THC, the psychoactive ingredient in cannabis. The tax structure would be unique to New York, which trails 15 other states in legalizing recreational pot.In his budget address late last month, Cuomo estimated marijuana could eventually generate about $300 million in annual tax revenue. (1/30)
Pentagon Halts Plan To Give Covid Shots To Guantanamo Bay Prisoners
The prospect of the detainees, including accused 9/11 ringleader Khalid Sheikh Mohammed, getting vaccinated before most Americans prompted outrage, the Washington Examiner reports. Other global news is from the E.U., U.K., Israel, Australia, China, Lebanon and elsewhere.
Washington Examiner:
Pentagon Pauses Plan To Offer Guantanamo Bay Detainees Coronavirus Vaccines
The Pentagon stopped a controversial plan to offer detainees at Guantanamo Bay access to COVID-19 vaccines. "No Guantanamo detainees have been vaccinated. We’re pausing the plan to move forward, as we review force protection protocols. We remain committed to our obligations to keep our troops safe," Pentagon press secretary John Kirby said in a tweet Saturday. (Dunleavy and Chaitin, 1/30)
NPR:
EU To Get 9 Million More AstraZeneca Doses After Supply Row
AstraZeneca will deliver nine million additional doses to the European Union in the first quarter of this year, bringing the total number of doses to 40 million, but falling well short of earlier supply promises. European Commission President Ursula von der Leyen said in her announcement Sunday that the company would also deliver the vaccines one week earlier than originally scheduled, and that the company planned to expands its manufacturing capacity in Europe. But the new delivery is half of the agreed-upon 80 million doses originally expected for the first quarter. The EU signed a deal in August for 300 million AstraZeneca doses, according to the BBC, with an option for 100 million more. (Diaz, 2/1)
AP:
Israel To Give Some Coronavirus Vaccines To Palestinians
Israel has agreed to transfer 5,000 doses of the coronavirus vaccine to the Palestinians to immunize front-line medical workers, Israeli Defense Minister Benny Gantz’s office announced Sunday. It was the first time that Israel has confirmed the transfer of vaccines to the Palestinians, who lag far behind Israel’s aggressive vaccination campaign and have not yet received any vaccines. (Federman, 1/31)
Reuters:
Two Million Australians In Lockdown After One Coronavirus Case Found
About 2 million Australians begun their first full day of a strict coronavirus lockdown on Monday following the discovery of one case in the community in Perth, capital of Western Australia state, but no new cases have since been found. Authorities ordered a five-day lockdown of Perth after a security guard at a hotel used to quarantine people returning from overseas was found to have contracted the virus. (Packham, 1/31)
The Hill:
WHO Investigators Visit Wuhan Market In Hunt For Virus Origin
Members of a World Health Organization (WHO) delegation investigating the origin of COVID-19 on Sunday visited a market in Wuhan, China where many of the first infections were reported in late 2019. Peter Daszak, president of U.S.-based group EcoHealth Alliance and a member of the delegation, confirmed the visit in a tweet, as did a top official with the International Livestock Research Institute. (Bowden, 1/31)
AP:
Captain Tom Hospitalized For Virus He Raised Money To Fight
Tom Moore, the 100-year-old World War II veteran who captivated the British public in the early days of the coronavirus pandemic with his fundraising efforts, has been hospitalized with COVID-19, his daughter said Sunday.Hannah Ingram-Moore revealed in a statement posted on Twitter that her father, widely known as Captain Tom, has been admitted to Bedford Hospital because he needed “additional help” with his breathing. ... Moore became an emblem of hope in the early weeks of the pandemic in April when he walked 100 laps around his garden in England for the National Health Service to coincide with his 100th birthday. Instead of the 1,000 pounds ($1,370) aspiration, he raised around 33 million pounds ($45 million). (1/31)
In other global news —
AP:
Survivors Of Beirut's Explosion Endure Psychological Scars
Joana Dagher lay unconscious and hemorrhaging under a pile of rubble in her apartment after the massive Beirut port blast in August, on the brink of death. She survived because of the courage of her husband who got her out, the kindness of a stranger who transported her in his damaged car and the help of her sisters during the chaos at the overwhelmed hospital. But Dagher doesn’t remember any of that: The 33-year-old mother of two lost her memory for two full months from the trauma she suffered in the explosion, including a cerebral contusion and brain lesions. (Mawad, 2/1)
AP:
Activists Back French-Vietnamese Woman's Agent Orange Case
Activists gathered Saturday in Paris to support people exposed to Agent Orange during the Vietnam War, after a French court examined the case of a French-Vietnamese woman who sued 14 companies that produced and sold the powerful defoliant dioxin used by U.S. troops. Tran To Nga, a 78-year-old former journalist, described in a book how she breathed some Agent Orange in 1966, when she was a member of the Vietnamese Communists, or Viet Cong, that fought against South Vietnam and the United States. “Because of that, I lost one child due to heart defects. I have two other daughters who were born with malformations. And my grandchildren, too,” she told The Associated Press. (1/30)
Viewpoints: Good Vaccine News From Johnson & Johnson; Get Hesitant Health Care Workers On Board
Editorial pages focus on these pandemic topics and others.
The Wall Street Journal:
Another Promising Vaccine, This One From Johnson & Johnson
Some good news this week: Johnson & Johnson’s vaccine looks likely to become the third U.S. Covid-19 vaccine to enter the market. The company released data this week showing the vaccine is about 70% effective against the virus, and its version requires only one shot. The Food and Drug Administration will need to review the evidence thoroughly, but the preliminary data is promising. The company is collecting more information to determine whether a booster shot could provide even better protection. Crushing Covid will require making the most of the different vaccine candidates, which come with their own pros and cons, and tweaking them to stay ahead of viral mutations. (Scott Gottlieb, 1/31)
The Wall Street Journal:
No Good Vaccine Deed
Johnson & Johnson and Novavax this week reported that their vaccines were effective in clinical trials, and what fortunate timing. The U.S. urgently needs a supply boost. But at this juncture it’s also worth noting how former Operation Warp Speed chief Moncef Slaoui positioned the Biden Administration for a vaccine triumph. One of Mr. Slaoui’s inspired ideas was to diversify the federal government’s vaccine bets with six manufacturers when nobody knew which, if any, would work. The vaccine candidates used different technologies—Moderna and Pfizer -BioNTech (mRNA), J&J and AstraZeneca (adenovirus), and Novavax and Sanofi -GSK (recombinant protein). (1/29)
Stat:
The Bystander Effect, Covid-19 Vaccine Edition
What do Covid-19 vaccination and the stabbing death of a woman outside of her New York City apartment have in common? The bystander effect. (Clayton Korson, 2/1)
The Washington Post:
Health-Care Workers, Do Not Neglect The Covid-19 Vaccine. It Will Save Lives —Including Yours.
How can it be that a sizable portion of first responders and workers in long-term care facilities — people who know well the dangers to health and well-being — are hesitant to get the coronavirus vaccine? It turns out there are plenty of explanations — understandable, but not satisfactory. Everyone in health care and among first responders should get the vaccine as soon as possible, for themselves and for the rest of us.T he Post reported that a large percentage of nursing home workers in D.C., Maryland and Virginia are declining to take the vaccine. (1/29)
The New York Times:
Kareem Abdul-Jabbar: Should N.B.A. Players Jump The Covid Vaccine Line?
Last month, Arnold Schwarzenegger and I separately got our first Covid-19 vaccinations on camera, with the hope that we would encourage people who were fearful of the vaccines to reconsider. We are both 73 years old (though I clearly look much younger) and have underlying health conditions, so we didn’t use our celebrity status to jump lines. One difference was that my vaccination was filmed as a public service announcement and his was recorded as he sat patiently in his car in a long line at Dodger Stadium along with hundreds of others. Another difference: He had a cool zinger after getting his shot. He squinted at the camera and growled a catchphrase from “Terminator 2: Judgment Day”: “Come with me if you want to live.” Best use yet of a catchphrase. I’d bet that those few seconds of film from both of us will do more to persuade certain people to get vaccinated than months of experts, charts, statistics, and studies. It shouldn’t be that way, but it is. Which is one reason the National Basketball Association is focused on getting its players vaccinated as soon as possible. It’s also why I agree some of them should be. (Kareem Abdul-Jabbar, 2/1)
Boston Globe:
Boston Infectious Disease Specialists: How To Make The Vaccination Rollout A Success
As we begin Phase 2 of the Massachusetts COVID-19 vaccine rollout plan, we, your local leaders in infectious diseases, reaffirm our commitment to working together to help bring an end to this pandemic. We now face the massive and complex undertaking of ensuring access to COVID-19 vaccination for all of our residents. We applaud President Biden’s decision to utilize all measures, including the Defense Production Act, to ramp up the production of vaccines and the supplies necessary for administration. We also fully anticipate the Food and Drug Administration and Centers for Disease Control and Prevention will continue to do everything in their power to expedite the review of additional COVID-19 vaccine candidates as soon as adequate data are available to ensure vaccine safety and efficacy. (Tamar Foster Barlam et al., 1/29)
Stat:
Disadvantage Indices Can Help Achieve Equity In Vaccine Allocation
Policymakers have wrestled for months with how to fairly prioritize populations for Covid-19 vaccines. But even as vaccines are being rolled out, there’s little agreement on the exact sequence of priority groups. (Harald Schmidt, 2/1)
CNN:
America Needs Better Masks To Fight Covid-19
On Wednesday night, Dr. Anthony Fauci, President Joe Biden's top medical adviser on Covid-19, and Dr. Rochelle Walensky, director of the US Centers for Disease Control and Prevention (CDC), were asked at a CNN town hall whether the Biden administration would be focusing on getting higher filtration masks, such as the N95s commonly used by health care workers, to the American public. (Abraar Karan, Ranu Dhillon and Devabhaktuni Srikrishna, 1/29)
The Hill:
People Who Get Vaccinated May Still Spread The Virus — And Other Things To Know About COVID-19
Dr. Michele Carbone, of the University of Hawaii Cancer Center and Department of Pathology, and an international team of colleagues recently wrote an article — a kind of state-of-the-research summary — for the “Journal of Thoracic Oncology” that provides reliable, easy to understand information about COVID-19 that is both important and not readily ascertainable in the circus atmosphere of our news media. (Nolan Rappaport, 1/31)
Different Takes: Pros, Cons Of Biden's Health Care Plans; Lessons On 'Gag Rule,' Women's Health
Opinion writers express views about these health care topics and others.
Los Angeles Times:
Biden Has Tough Road To Undoing Damage Trump Did To Obamacare
President Biden took several steps Thursday to undo some of the damage President Trump inflicted on the health insurance program created by the 2010 Affordable Care Act, and that’s a good thing. Trump needlessly undermined the state exchanges that made coverage available and affordable to millions of lower-income Americans who don’t have access to an employer’s health plan. But make no mistake, Biden’s actions won’t do much to improve the U.S. healthcare system as a whole. The problems of ever-rising costs and large numbers of uninsured Americans remain, and will continue to fester until more dramatic and permanent steps are taken. (Jon Healey, 1/29)
Fox News:
Biden's Health Care Plans – This Is What Americans Can Expect From Democrats
Last week, President Joe Biden signed executive orders that will re-open ObamaCare's insurance exchanges from Feb. 15 through May 15 and direct federal agencies to re-examine some of the health care rules enacted by the Trump administration. There's a limit to what Biden can accomplish by executive action. But with narrow control of Congress, there's still plenty Democrats can do on health care. Unfortunately, the changes they have in mind won't make health care more affordable, even as they command huge sums of taxpayer money. Near the top of Biden's agenda are more generous subsidies for coverage sold on the exchanges. Currently, ObamaCare provides premium tax credits to Americans earning between 100% and 400% of the federal poverty level, or between about $26,000 and $105,000 for a family of four. (Sally Pipes, 1/31)
The New York Times:
Women’s Health Isn’t A Geopolitical Game
On Thursday, President Biden lifted the Mexico City Policy, known more commonly to critics as the global gag rule, which denies U.S. aid to nongovernmental organizations if they advocate for, suggest or even mention the word abortion. Mr. Biden’s move was not a surprise. Since the rule was established under Ronald Reagan in 1984, Republican presidents have sustained the policy, and their Democratic counterparts have repealed it. The gag rule does not simply project America’s culture battles onto the lives of women and families in far-flung communities across the world — though it very much does that — but also creates what Simon Cooke, the C.E.O. of the U.K.-based women’s health organization MSI Reproductive Choices, calls a “yo-yo” effect which badly strains global health care distribution. (Sarah Wildman, 1/31)
Los Angeles Times:
Why We Might Soon See A Spike In Antiabortion Violence
In 2009, four months after Barack Obama, who supported abortion rights, was sworn in as president and Democrats controlled both houses of Congress, a religious zealot murdered the late-term abortion doctor George Tiller in the vestibule of Tiller’s church. I have always believed those two things were related. Generally, when the Republican Party has been in charge, antiabortion activists breathe a little easier, knowing women’s reproductive rights will be foiled at almost every turn. (Robin Abcarian, 1/31)
The Washington Post:
Guns Are White Supremacy’s Deadliest Weapon. We Must Disarm Hate.
The defining photograph of the attempted insurrection on Jan. 6 was that of a man strolling through the broken halls of our national Capitol, amid the smashed windows and assorted rubble of the failed coup, proudly brandishing a Confederate flag on his shoulder and hoping to overturn an election decided largely by Black voters. It’s an image that tells the story not only of Jan. 6 or of the Trump presidency, but also of all the steps that led to that moment — the whole history of hate in America captured in one frame. For me, the echoes of that picture reverberated back nearly six years, to the day my mom — Ethel Lee Lance — was shot and killed while praying in Charleston’s Mother Emanuel Church along with eight other Black Americans, including two of my cousins and one of my close childhood friends. (Sharon Risher, 1/31)
The Hill:
New Administration Offers Hope To Survivors Of Sexual Violence
As survivors of sexual violence have dealt with the stresses of the pandemic, a chaotic political season and civil unrest, RAINN has seen record demand for our victim services programs — the highest in our 26-year history. Perhaps unsurprisingly, given the risks that kids have faced throughout a long national quarantine, the majority of victims we helped online through the National Sexual Assault Hotline in 2020 were kids. (Scott Berkowitz, 1/31)
Stat:
Decentralized Clinical Trials Need Collaboration To Achieve Wider Use
Despite groundbreaking advances in basic and clinical science and technology, clinical trial methods have not kept up with the pace of change and are no longer fit for purpose — not for patients or for the life science industry. (Kalali and Lipset, 1/29)