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U.S. well being division mandates Covid vaccine pictures for its 25,000 workers

Xavier Becerra, the Health and Human Services (HHS) candidate, attends his Senate Finance Committee hearing on Capitol Hill in Washington on February 24, 2021.

Michael Reynolds | Swimming pool | Reuters

The Department of Health and Human Services is ordering Covid-19 vaccine syringes for the agency’s 25,000-plus employees, making it the latest government agency to require vaccinations in response to the global surge in the Delta variant.

The mandate announced Thursday by HHS Secretary Xavier Becerra covers the Indian Health Service, the National Institutes of Health, and the US Public Health Service Commissioned Corps – three agencies overseen by the department – and staff working with patients in medical or clinical research facilities of the federal government work together.

“Our ultimate goal is the health and safety of the American public, including our federal employees, and vaccines are the best tool we have to protect people from COVID-19, prevent the spread of the Delta variant, and save lives” Becerra said in a statement from HHS.

Members of the commanded corps must also be vaccinated against the virus if they are called to active duty as emergency services. The new mandate follows the agency’s existing religious and medical exemptions for vaccinations against influenza and other diseases.

The decision is made just days after the Pentagon issued a Covid vaccination mandate for all service members to be vaccinated by mid-September. The Department of Veterans Affairs became the first major federal agency to issue a Covid vaccination mandate for health workers last month.

President Joe Biden also announced mandatory vaccination for all federal employees on July 29, giving them the alternative of having weekly coronavirus tests instead of showing proof of vaccination. HHS did not state whether employees could choose to get tested for the coronavirus regularly instead of getting vaccinated.

Company executives are also increasingly exercising vaccine mandates. Companies including Google, Facebook, United Airlines and Tyson Foods are now demanding that some or all of their employees be vaccinated as the number of coronavirus cases in the US has risen recently.

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A Return to Freedom, After Almost a 12 months Trapped Indoors Underneath Lockdown

TORONTO — Ted Freeman-Atwood, 90, rolled out of his tall brick nursing home in his wheelchair, wearing a blue tweed jacket with a white handkerchief peaking from its breast pocket. “This is the farthest I’ve traveled since last year,” he told the manager of his favorite restaurant two blocks away, who greeted him by name.

It was a beautiful day in June. The sky clear, the sun generous and Toronto’s streets alive. After eight months of near-constant, government-enforced closures, small storefronts flung open their doors to customers and restaurant patrons spilled out from sidewalk patios onto the road.

It was Mr. Freeman-Atwood’s first real outing since August 2020; his second since the coronavirus pandemic began.

He ordered a glass of pinot grigio, explaining how he hadn’t tasted that pleasure in almost a year because “the joint I live in doesn’t want drunk old men pawing girls after 5 p.m.”

Toronto — the city labeled “the lockdown capital of North America” by the national federation of small businesses — was giddy with liberty and freedoms that many had considered chores back in February 2020.

Since December, gatherings in the city — even outdoors — had been banned, filling the city with a sense of loneliness. No one felt this more acutely than residents of Toronto’s nursing homes. Ground zero for the pandemic’s cruel ravages, they account for 59 percent of the country’s Covid-19 deaths. As a result, they also became the most fortified. Locked down since last March, most facilities refused all visitors for months.

For all but five weeks between March 2020 and June 2021, care home residents in Toronto were not permitted to leave their buildings for nonmedical reasons, not even a stroll. Many compared themselves to caged animals or prisoners. The lucky ones lived in residences with attached courtyards, where they could at least feel the sun on their faces.

Mr. Freeman-Atwood was not among the lucky ones.

“I’m bored to tears,” he said in January, two weeks after he’d received his first dose of the Moderna vaccine. “I do virtually nothing. Today, nothing awful happened, noting half-awful happened, nothing brilliant happened, nothing half-brilliant happened.”

He added, “I’m in my room all day.”

The child of a British army general and a mother from Newfoundland, Mr. Freeman-Atwood had lived a large, roaming life. He traveled around the world as a child and spent most of his adulthood in Rio de Janeiro, where he eventually became president of Brascan, a large Canadian firm that owned the biggest hydroelectric utility in the Southern Hemisphere, until he negotiated its sale to the Brazilian government.

In 2012, Mr. Freeman-Atwood moved into the Nisbet Lodge, a Christian nonprofit long-term care home in Toronto’s busy Greektown neighborhood. He’d suffered five aneurysms in 10 years, and had one leg removed because of bad circulation. After gangrene eventually set into the remaining leg, the doctors amputated that one, too.

His second wife had died from cancer, and he’d stubbornly refused an offer from his only child, Samantha, to take him in.

“I’m too much of a bloody nuisance,” he explained. “I’m in a wheelchair. I can’t get up or downstairs. Why should I inflict that on her?”

Before the pandemic, Mr. Freeman-Atwood regularly met Samantha, his son-in-law and two grandsons for lunch at nearby restaurants; he visited the bank and local cheese shop; and once a week, he wheeled his way to the liquor store for some wine, which he would smuggle back to his room.

Then, in March 2020, he lost what was left of his relatively independent lifestyle. He survived an outbreak in the home, during which 35 staff members and 53 residents tested positive. Four residents died. Mr. Freeman-Atwood tested positive, but experienced no symptoms.

He could no longer see his daughter, who found the trips to the building to drop off cookies and supplies for him heartbreaking.

On regular phone calls throughout the winter and spring, Mr. Freeman-Atwood’s only complaint was boredom. Sometimes, the sound of his neighbor moaning in pain echoed hauntingly in the background.

“I know it could be a hell of a lot worse,” he said. “I’d love to go out. What if I picked it up and then came back?”

During the pandemic, Canadian geriatricians sounded an alarm about “confinement syndrome.” Residents in nursing homes were losing weight, as well as cognitive and physical abilities because of social isolation — concerning given that even in nonpandemic times most residents die within two years of arriving at a care home.

Mr. Freeman-Atwood tried to stay busy. He had three newspapers delivered on Saturdays, tabulated the tax returns for four people in the spring and completed 300 exercise repetitions each morning before getting out of bed.

A big day for him was a rare trip to the building’s dining room on the top floor, where he could speak to one young waitress in German, a language he had perfected in 1956 in Austria, when he worked doing the accounts of an aid group tending to Hungarian refugees.

He met his first wife, who was also working with refugees, in Vienna. “We were young enough to think we were doing good,” he said.

As the pandemic dragged on, Mr. Freeman-Atwood also revealed some vulnerable moments.

In late March, he was presiding over a second-floor meeting of the residents’ council, which he has led since moving in. Outside, the city was in early bloom, the forsythia bushes glowing an electric yellow of promise. In an instant, the sun spilled through the windows.

“It was drawing us out, calling, ‘Come out, come out, come out and play,’” said Mr. Freeman-Atwood. “‘You’ve had your two Moderna jabs, why can’t you come out?’ The answer is, ‘No, the rest of the world hasn’t. And when will that be, nobody knows.”

Canada’s nursing homes were the first places to receive the country’s vaccines and by February, every resident of these homes in Ontario had been offered a first dose. Still, the restrictions did not change.

Government officials were “so burned by poor performance, the last thing they wanted is to be that minister who allows more bad things to happen,” said Dr. Samir Sinha, the director of geriatrics at Sinai Health System and University Health Network in Toronto. He was among those lobbying the government this past spring to relax its restrictions.

“At this point,” he said, “the risks of loneliness and social isolation are far greater than dying from Covid in these homes.”

Though the Delta variant has reached Ontario in recent months, it has not caused the damage — or shutdowns — as seen in other parts of the world, in part because of the high rate of vaccinations. Eighty-two percent of the province’s eligible population has received at least one vaccine dose, as of Aug. 11.

When Mr. Freeman-Atwood finally emerged in June, it wasn’t to go on a grand voyage. His dream outing was much simpler. He rolled into a dollar store a block from his building to peruse the cheap watches, since his had broken. “Do you remember me?” he asked the man behind the counter. He was like a shipwreck survivor, giddy from the joys of basic social interaction.

“This is my first time outside in a year,” he exclaimed.

The restaurant patio bubbled with noises, like an awakening orchestra. The music from speakers threaded with boisterous conversation. A toddler at a neighboring table screamed; her parents explained this was her first time at a patio.

Meals were savored, checks slow to arrive. Mr. Freeman-Atwood ordered two more glasses of wine.

“This is more fun than I’ve had in a year,” he said.

On the way back to his building, he pushed past storefronts that hadn’t survived the pandemic; “For Sale” signs posted in their dusty windows. The sky was turning a bruising purple; storm clouds were gathering.

Mr. Freeman-Atwood said he didn’t know how long these freedoms would last, or whether we’d pay for them. But he was already planning another outing.

Vjosa Isai contributed research.

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Alaska Airways is contemplating Covid vaccine mandates for workers

Alaska Airlines Boeing 737 taking off from LAX.

PG | Getty Images

Alaska Airlines announced Wednesday that it is considering making Covid-19 vaccines mandatory for employees, according to a company memo that CNBC viewed.

The policy change would make the Seattle-based airline the newest airline to require vaccines for its employees. On Friday, United Airlines became the first major US airline to require vaccines for its employees. Frontier Airlines and Hawaiian Airlines have since issued similar requirements.

Alaska, which has about 20,000 employees, said if it did make vaccines mandatory it would after the Food and Drug Administration fully approved one of the vaccines currently available under emergency approval.

Airline executives recently raised concerns about the rapidly spreading Delta variant of Covid. Southwest Airlines lowered its revenue and profit forecasts on Wednesday and made the spread of the variant due to weaker bookings and increased cancellations.

Delta, Southwest, and American have encouraged, but not mandated, employee vaccination.

“As an employer with a duty to protect you, and given the contagion and health risks of the COVID-19 virus and its variants, we have the right to make that decision and ask you for information about your vaccine status,” Alaska employees said . It was said that there would be exemptions for religious or medical reasons, similar to other companies.

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W.H.O. Testing three Medicine in Broad Seek for Covid Remedies

The World Health Organization is testing three more drugs as part of a huge global study to find effective treatments for Covid-19, the agency said on Wednesday.

The study, which will involve researchers in more than 600 hospitals in 52 countries, will evaluate whether the drugs already approved for other uses – one for malaria, one for cancer and one for autoimmune diseases – can reduce the risk of death for patients with Covid to be hospitalized.

Dr. Tedros Adhanom Ghebreyesus, WHO director general, said Wednesday he hoped “one or more of the drugs” would prove effective in treating the virus.

Although there are already some treatments out there for people with Covid-19, including steroids and monoclonal antibodies, Dr. Tedros: “We need more for patients at all ends of the clinical spectrum.”

The first phase of the WHO’s trials of new drugs, which it called Solidarity, yielded disappointing results. The researchers found that four different drugs, including hydroxychloroquine and the antiviral drug remdesivir, had little or no benefit for hospitalized Covid patients.

The three drugs in the new study, named Solidarity Plus, were selected by an independent panel of experts and are donated by their manufacturers Ipca, Novartis and Johnson & Johnson. The drugs are artesunate, an antimalarial drug that may have anti-inflammatory effects; Imatinib, a cancer drug that could reverse damage to the lungs; and infliximab, an autoimmune disease drug that may help curb an overly aggressive immune response to the virus.

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Dr. Peter Hotez applauds CDC’s endorsement of vaccines for pregnant ladies in gentle of harmful antivaccine rhetoric

Dr. Peter Hotez told CNBC he was glad the Centers for Disease Control and Prevention updated their guidelines and urged pregnant women to get vaccinated, especially given the widespread misinformation campaigns targeting pregnant women.

“Unfortunately, the bad guys, the anti-vaccine groups, have published a lot of fake information claiming that Covid-19 vaccines can cause infertility,” said Hotez, co-director of the vaccine development center at Texas Children’s Hospital.

“They copied and pasted their fake news about the HPV vaccine for cervical cancer and other cancers, which was also wrong, that they said caused infertility, and they just copied / pasted it right on Covid-19 vaccines . There was never any truth to it. “

The CDC’s recommendation comes because the highly transmissible Delta variant is causing a further increase in Covid-19 infections and the daily cases nationwide are rising over 100,000. According to CDC statistics, by July 31, around 23% of pregnant women had received at least one dose of the Covid vaccine.

Hotez underlined in an interview on Wednesday evening in “The News with Shepard Smith” how dangerous it is for some pregnant women to become infected with Covid-19.

“We have seen many and many pregnant women over the past year and a half who got very sick, went to the pediatric intensive care unit, lost their baby, lost their own life to Covid-19, and this is the really scary piece” “, said Hotez. “Pregnant women have not coped well with this virus, and that is the big message.”

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C.D.C. Recommends Covid Vaccines Throughout Being pregnant

Still, many pregnant patients who are reluctant to introduce foreign substances into their bodies want more long-term data and scientific evidence that the vaccines have no effect on the development of the fetus, said Dr. Adam Urato, a Framingham, Massachusetts maternal-fetal medical specialist providing advice to patients about the vaccine.

“The only question my patients ask me all the time is, ‘Are we absolutely sure that these vaccines won’t harm my baby?'” He said.

Tista Banerjee, 32, who gave birth to twins in late June, said she chose not to get vaccinated until after she was pregnant.

“During pregnancy, they say that if you don’t need to take external medication, then you shouldn’t and that you should be extra careful with what you put into your body,” said Ms. Banerjee. The vaccine was still fairly new in April when she was considering vaccinating, she said, and she was lucky enough to be able to work remotely and avoid unnecessary exposure to the virus.

She was fully vaccinated in July, shortly after giving birth, she said.

Pregnant women, who were often excluded from medical trials, were not included in the clinical trials of the Covid vaccines, and the World Health Organization was ambiguous in its guidelines on vaccines, both for breastfeeding women for whom safety data are not available, and for and for pregnant women.

In interim recommendations issued in June, the global health organization said it recommends vaccination “when the benefits of vaccination to the pregnant woman outweigh the potential risks.” Examples were women who are at high risk of exposure to Covid and those with chronic health conditions such as obesity or diabetes who are at higher risk for serious illness.

Sabrina Imbler contributed the reporting.

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WHO official pleads with Caribbean islanders to ‘get up’ and get vaccinated

People walk through Old San Juan on March 21, 2021 in San Juan, Puerto Rico.

Spencer Platt | Getty Images

A senior World Health Organization official asked people in the Caribbean to get vaccinated on Wednesday, saying the islands had limited intensive care beds.

Dr. Carissa Etienne, director of the Pan American Health Organization, WHO’s regional branch in Latin America, said the abundance of misinformation about vaccines in the island region is making people reluctant to get the vaccinations.

“I would like to address my fellow Caribbean people in particular, we have to be extremely careful,” said Etienne. “We have limited bed capacities on our small islands and limited capacities in the intensive care unit … our health systems will very quickly be overwhelmed.”

Health systems there could quickly become overwhelmed if more people weren’t vaccinated, she said, noting that misinformation had spread across the islands.

She said the decision not to get vaccinated was “foolish”, especially when hospital facilities are so limited.

“We play with our life. So my appeal to you is: get up, wake up from this slumber, wake up from this dream, because we know the vaccines are safe, ”said Etienne.

“I do not know the sources of the information that cause this level of vaccine reluctance. I can tell you that it has not been scientifically proven, and I encourage you to listen to the sources for truthful, scientifically based information to have.” Information and evidence, “said Etienne.

A relative of a Covid-19 patient queues to recharge oxygen tanks for loved ones at the regional hospital in Iquitos, the largest city in the Peruvian Amazon.

CESAR OF BANCEL | AFP | Getty Images

There were some rare side effects from the vaccines that usually occur within a few weeks of being vaccinated. Etienne said that side effects are being closely monitored by scientists “nationally, regionally and globally” and that immediate action will be taken if concerns arise. Every drug you take has side effects, “and you don’t question them there,” said Etienne.

“So please, please, please take your vaccines and please wear your mask properly and keep social distance,” said Etienne. “I know we Caribbean people like to be close and like to meet,” she said.

Etienne said that despite the cultural inclination to congregate, people should keep social distance, wash their hands, and observe “breath etiquette”.

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As demand surges within the U.S., counties reopen virus testing websites.

As the delta variant of the coronavirus spreads in the United States, some counties are opening community testing sites that they closed last spring when case numbers fell and attention shifted to vaccination.

The demand for tests has increased over the past month. By the end of July, an average of nearly 900,000 coronavirus tests were being performed daily, compared with 500,000 to 600,000 per day at the beginning of the month, according to the U.S. Department of Health.

Several factors are likely to be responsible for the increase, including the spread of the highly contagious Delta variant and new mandates that oblige unvaccinated people to frequent tests. The Centers for Disease Control and Prevention also recently changed their guidelines for vaccinated people, recommending that they be tested if they are exposed to the virus, even if they don’t have symptoms.

Testing has been a hotspot for the United States since the pandemic began. A faulty test, official bureaucracy and delivery bottlenecks initially led to long queues at the test locations and days of waiting for results.

Officials eventually ironed out some of those kinks, and as infections skyrocketed last year, state-run mass testing sites sprang up across the country offering free virus tests to all comers. However, some delays and problems persisted even as capacities increased.

When the vaccines were approved, many large testing centers were converted into vaccination centers and some were closed altogether. Virus testing has largely shifted to the private sector – for example, local pharmacies and commercial laboratories.

“There are far fewer test sites, public test sites, than there were six months ago,” said Mara Aspinall, an expert in biomedical diagnostics at Arizona State University. “So that’s a matter of concern to me.”

After residents began reporting a three-day wait for test appointments at pharmacies in Hillsborough County, Florida, the county opened two free, walk-in test locations last weekend. Officials had planned to run around 500 tests per day at each site and ended up doing almost twice as many, said Kevin Watler, a Florida Department of Health spokesman.

“It’s been very, very busy,” he said. “So the demand is definitely there.”

Many other test sites are emerging in Florida, where the virus is on the rise, as well as across the country. In California, San Diego County added five new test sites last week after traffic increased at its existing sites, officials said.

Other locations are expanding opening hours at testing sites or setting up pop-up testing clinics, and some combine their testing and vaccination services. Last week the Delaware Department of Public Health announced it would begin offering testing at its vaccination sites and is opening a new drive-through testing and vaccination site in New Orleans.

“With the fourth and worst surge in Covid-19 in Louisiana, we need to take a multi-pronged approach to combating the virus,” said Dr. Jennifer Avegno, the director of the New Orleans Department of Health, in a statement. “Masks slow the spread, tests identify cases and pandemic trends, and vaccines prevent hospitalizations and deaths. It only makes sense to put these resources in one place so that residents can access the tools they need for their safety in one place. “

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U.S. academics union says Covid case surge in youngsters led to again necessary photographs

A healthcare worker administers a dose of the Pfizer-BioNTech Covid-19 vaccine to a student during a ‘Vax To School’ campaign event at a high school in the Staten Island borough of New York, U.S., on Tuesday, Aug. 10, 2021.

Jeenah Moon | Bloomberg | Getty Images

A recent surge of Covid cases in kids across the U.S. led the nation’s second-largest teachers union to back vaccine mandates for educators as schools prepare for in-person learning this fall, said Randi Weingarten, president of the American Federation of Teachers.

“This is what really scares me: in the last three weeks, we’ve gone from the number of kids testing positive from 20,000 to 40,000 to 72,000,” she said, citing data from July. The number of kids who tested positive for Covid during the week ended Aug. 5 was even higher at 93,824, according to the most recent data from the American Academy of Pediatrics.

Weingarten, who was speaking in an interview Wednesday with CNBC’s “Squawk Box,” said schools should give teachers time off to get the shots and allow for medical and religious exemptions for those who don’t want them.

“Kids under 12 can’t get vaccines, this delta virus is very transmissible, so we need to be in school for our kids, with our kids, but we need to keep everyone safe,” Weingarten said. “And that means vaccines are the single most important way to do it, and the second way to do it is masks.”

Approximately 90% of teachers are already vaccinated, Weingarten said during the interview, citing White House data. But with many children still ineligible for vaccination, Weingarten stopped short of advocating for an immunization requirement for students under 12.

As the delta variant surges, states have begun enhancing their Covid mitigation protocols to prevent the virus from spreading among faculty and students. On Aug. 4, Illinois Gov. JB Pritzker introduced a mask mandate for all state students regardless of their vaccination status.

New Jersey also issued a mask mandate for all students and staff on Friday, and Louisiana’s mask mandate for public indoor settings includes students from kindergarten through college.

Becky Pringle, president of the largest U.S. teachers’ union, the National Education Association, told the New York Times last week that any vaccine mandate should be negotiated at the local level.

Reuters contributed to this report.

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Eye Drops Had been Speculated to Assist Her Imaginative and prescient. Why Did It Really feel Worse?

She immediately emailed Bicket informing the doctor that she would stop the medication and just take the others. Perhaps it was this drug that caused the photophobia, the dry eyes, and now the burning sensation.

“I am fine with any short-term IOP dropping experiment you choose to conduct,” Bicket wrote back. But the symptoms the patient was experiencing did not match the usual side effect profile of the medications she was taking. There is another possibility, added Bicket: Maybe it’s not a single drop, but all of them. They all contain a preservative called benzalkonium chloride (BAK). “If you don’t tolerate this,” Bicket wrote, “stopping one agent against another won’t help.”

The patient decided to stop them all, she wrote to Bicket. It was a risky move because the drops were important to keep pressure down and avoid further damage. But the pain and sensitivity to light were unbearable.

The patient had her answer three days later. Her eyes felt so much better without the drops. The gloomy feeling when she blinked was gone. Likewise the photophobia. It had to be the BAK. The patient turned to PubMed for information. There was a lot. Preservatives were essential in preventing bacteria from growing in medicine bottles that contained more than a single dose, and BAK was the most commonly used preservative in both over-the-counter and prescription eye drops.

She found that the patient’s complaints were not due to an allergy to the preservative, but to the way BAK worked. This compound kills germs by dissolving the lipid layer that forms their outer protective covering. Here’s the problem: the eyes are kept from drying out by a similar protective coat – from tears. Tears consist of a thin layer of fluid from the lacrimal gland (lacrimal gland), which in turn is covered by a layer of oil formed by the meibomian glands. BAK breaks down this outer protective lipid layer and exposes the salty liquid to the air. For many people with dry eyes, the unprotected fluid evaporates and the patient’s eyes become even drier. Eye drop users who produce enough tears are not affected, but many are not. Aging also reduces this protective layer, which puts older users of BAC-containing drugs at greater risk of eye drying. Eventually, the dryness can lead to permanent damage to the cornea, the clear outermost layer of the eye.

The patient immediately switched to single-dose bottles of the drops; these do not need any preservatives at all. With this change, her eyes began to heal. It’s been five years and she still can’t see well with her left eye, and she now has glaucoma in her right eye too. But she has figured out how to work with her vision and her glaucoma is well under control.

Bicket, now at the University of Michigan, was intrigued by the difference between real-world visual acuity and the patient’s own eyesight. Research she and her colleagues recently published shows that this can lag behind the visual acuity tested by weeks or sometimes months. The first question anyone undergoing eye surgery will ask themselves, Bicket told me, is how long it will take them to recover enough to go back to work, read, or drive. “The simple answer,” she says, “is, we just don’t know.” But Billet is working hard to find out.