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Future Vaccines Rely upon Take a look at Topics in Quick Provide: Monkeys

Mark Lewis was dying to find monkeys. Millions of lives around the world were at stake.

Mr. Lewis, the CEO of Bioqual, was responsible for providing laboratory monkeys to pharmaceutical companies such as Moderna and Johnson & Johnson, which the animals needed to develop their Covid-19 vaccines. But when the coronavirus spread in the United States last year, there were few of the specially bred monkeys in the world.

About a dozen companies that could not provide scientists with monkeys, which can cost more than $ 10,000 each, looked for laboratory animals at the height of the pandemic.

“We lost our jobs because we couldn’t take care of the animals on time,” said Lewis.

The world needs monkeys whose DNA is very similar to that of humans to develop Covid-19 vaccines. However, a global shortage stemming from unexpected demand due to the pandemic has been exacerbated by a recent ban on the sale of wild animals from China, the leading supplier of laboratory animals.

The recent shortage has rekindled discussion of creating a strategic monkey reserve in the United States, an emergency supply similar to that maintained by the government for oil and grain.

As new variants of the coronavirus threaten to obsolete the current amount of vaccines, scientists are looking for new monkey sources, and the US is rethinking its reliance on China, a rival with its own biotech ambitions.

The pandemic has underscored the extent to which China controls the supplies of life-saving items, including masks and drugs, that the United States needs during a crisis.

American scientists have searched private and government-funded facilities in Southeast Asia and Mauritius, a tiny island nation off Southeast Africa, for populations of their preferred test subjects, rhesus and cynomolgus monkeys, also known as long-tailed macaques.

But no country can make amends for what China delivered before. Before the pandemic, China supplied over 60 percent of the 33,818 primates, mostly cynomolgus macaques, imported to the United States in 2019, according to analyst estimates based on data from the Centers for Disease Control and Prevention.

In the United States, 25,000 laboratory monkeys live in its seven primate centers – predominantly rhesus monkeys with pink faces. About 600 to 800 of these animals have undergone coronavirus research since the pandemic began.

Scientists say monkeys are ideal samples for coronavirus vaccine research before testing in humans. The primates share more than 90 percent of our DNA. Because of their similar biology, they can be tested with nasal swabs and their lungs scanned. Scientists say finding a replacement for testing Covid-19 vaccines is almost impossible, despite drugs like dexamethasone, the steroid used to treat President Donald J. Trump, have been tested in hamsters.

The United States once relied on India to supply rhesus monkeys. In 1978 India stopped exporting after the Indian press reported that the monkeys were being used in the US for military tests. Pharmaceutical companies were looking for an alternative.

Eventually they landed on China.

The pandemic disrupted the decades-long relationship between American scientists and Chinese suppliers.

“When the Chinese market closed everyone was forced to go to fewer animals available,” said Lewis.

Updated

Apr. 23, 2021, 7:02 p.m. ET

For years, several airlines, including the major American airlines, have also refused to transport animals used in medical research because animal rights activists oppose it.

Meanwhile, the price of a cynomolgus monkey has more than doubled year over year to well over $ 10,000, Lewis said. Scientists researching cures for other diseases, including Alzheimer’s and AIDS, say their work has been delayed as coronavirus researchers give priority to the animals.

The shortage has led more and more American scientists to urge the government to ensure constant care for the animals.

Skip Bohm, associate director and senior veterinarian at the Tulane National Primate Research Center outside of New Orleans, The discussion about a strategic monkey sanctuary began about 10 years ago under the directors of the national primate research centers. However, due to the time and money invested in setting up a breeding program, a supply was never created.

“Our idea was like the strategic oil reserve in that there is a lot of fuel somewhere that can only be tapped in an emergency,” said Professor Bohm.

However, when new variants of the virus are discovered that may resume the race for a vaccine, scientists say the government must take immediate action on the supply.

“The strategic monkey reserve is exactly what we needed to deal with Covid and we just didn’t have it,” said Keith Reeves, principal researcher at the Center for Virology and Vaccine Research at Harvard Medical School.

However, a robust strategic reserve may still not be able to meet the skyrocketing demand for laboratory animals, researchers in China have learned. Even with a government-controlled supply of around 45,000 monkeys, researchers in China say they are struggling with a shortage.

Researchers often collect hundreds of samples from a single monkey, whose tissue can be frozen for years and examined over long periods of time. Scientists say they make the most of every animal, but monkeys infected with Covid-19 cannot be returned to live among other healthy animals and will eventually have to be euthanized.

In January, Shen Weiguo, general manager of Shanghai Technology Venture Capital Group, told local lawmakers that three major biomedical companies in the city were nearly 2,750 research monkeys, according to a report in the state news media last year. The deficit is set to grow 15 percent annually for the next five years, Shen said.

Hubei Topgene Biotechnology breeds monkeys for its own research and for export. The US used to be the top export destination, but the company currently doesn’t have enough animals to conduct its own experiments, said Yan Shuo, a sales manager.

“Now it’s not even about money,” said Mr. Yan. “We don’t even have monkeys to sell abroad.”

The United States has seven national primate research centers where the animals, when unexplored, live in colonies with access to nature and enrichment activities. The facilities are attached to research universities and are funded by the National Institutes of Health. Animal rights activists have long accused the centers of abuse, including separating babies from their mothers.

Matthew R. Bailey, president of the National Association for Biomedical Research, said he was preparing to increase the monkey shortage in the Biden administration. He said China’s decision to stop exports at the start of the pandemic was “likely a prudent emergency,” but suggested that China could resume exports given how the virus is now spreading.

The Chinese Ministry of Foreign Affairs said the ban was not aimed at specific species or countries.

As soon as the international situation improves and the conditions for imports and exports are met, the Ministry will issue a statement actively considering resuming import and export permits and other related work.

Experts said the United States had some responsibility for not having enough research monkeys.

Budgets in the national primate centers have either remained flat or have been falling for more than a decade. Koen Van Rompay, an infectious disease expert at the California National Primate Research Center, said the federal government asked the center to expand its breeding colonies about 10 years ago but did not grant it an increase in funding, so it instead downsized its colony.

“What we did in a number of cases was give birth control to our women,” said Dr. Van Rompay. “So fewer babies would be born in the spring.”

At a panel organized by the National Institutes of Health in December 2018, the scientists discussed the challenges facing American primate care. There was an awareness then that “if China chooses to turn the cone off, we will be in big trouble,” said Jeffrey Roberts, associate director of the California National Primate Research Center.

Participants “agreed that the need to breed cynomolgus macaques domestically is essential and, if not met, could jeopardize biomedical research in the United States as a whole,” a report from the meeting said. “They stressed that it may be too late to meet these needs, but it will certainly be too late within a few months.”

Amber Wang and Elsie Chen contributed to the research.

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Cuba’s Covid vaccine may very well be made eligible for vacationers

On October 23, 2020, at the Melia Varadero International Hotel in Matanzas Province, a man is standing near a Cuban national flag. Varadero, Cuba’s main seaside resort, is reopening to international tourism amid the coronavirus pandemic.

YAMIL LOCATION | AFP | Getty Images

Cuba’s most advanced Covid-19 vaccine candidate is set to enter late-stage clinical trials next week, bringing the tiny island nation ever closer to an exceptional medical performance that analysts believe will have far-reaching ramifications across the global south.

Cuba’s most promising vaccine candidate of the four under development is Soberana 02. The vaccine name translates from Spanish to “Sovereign”, an alleged allusion to Cuba’s national pride in its world-famous healthcare system.

Soberana 02 is scheduled to enter phase 3 studies from March 1. According to official figures, up to 150,000 volunteers will take part in the tests within weeks. Phase 3 trials represent the final phase before a vaccine is generally approved by national regulatory authorities.

It comes at a time when many people in Cuba are forced to stand in line for hours to buy basic goods and the authorities continue to adhere to a decade-long US trade embargo – with sanctions that former President Donald Trump has in recent years Years.

“It’s just this incredible dichotomy,” Helen Yaffe, a Cuba expert and lecturer in economic and social history at the University of Glasgow, Scotland, told CNBC over the phone.

“On one hand, you have this high-tech biotech sector that brings a lot of hope to the global south because there is the possibility of an affordable vaccine – (and) vaccinating the global south will be the priority,” said Yaffe.

“And at the same time, Cubans get up at four or five in the morning to join the queue because there is a real shortage of really basic food and even medicine.”

What do we know about Soberana 02?

The Cuban Finlay Institute, the country’s leading biopharma institution, is overseeing the development of Soberana 02. Vicente Verez, director of the institute, has indicated that the vaccine could be available as an option to tourists later this year.

If Soberana 02 is found to be safe and effective, the development of a domestically manufactured vaccine will likely be hailed as an astounding scientific breakthrough and major political triumph. Cuba would also be the first Latin American country to immunize its population with a domestically manufactured vaccine.

Technician Mayelin Mejias will work in the vaccine aseptic and packaging processing facility at the Finlay Vaccine Institute in Havana on January 20, 2021.

YAMIL LOCATION | AFP | Getty Images

The government has not yet outlined any concrete plans for vaccinating tourists, but analysts say it is possible for foreigners traveling to Cuba to receive their first dose of vaccine on the island before subsequent doses to take away.

Although public data are limited, it is believed that up to three doses of the vaccine could be given at two-week intervals.

People are already talking about sun, sea, sand and Soberana 02. So I wouldn’t be surprised if people went to Cuba to look for the vaccine and I’m sure the Cubans will offer it.

Helen Yaffe

Lecturer in Economic and Social History at the University of Glasgow

Yaffe, who is also the author of We Are Cuba !: How a Revolutionary People Survived in a Post-Soviet World, said Cuba’s sophisticated health system would help the country introduce the vaccine “extremely” quickly.

“I can guarantee that. And if they have a vaccine every two weeks, people could be vaccinated within a month of starting,” Yaffe said.

“By the summer, people will be pretty desperate to go on vacation, and I think Cuba, which is nominating itself as the ideal travel destination. People are already talking about sun, sea, sand and Soberana 02. So I wouldn’t be surprised if Die People go to Cuba to find the vaccine and I’m sure the Cubans will offer it. “

How does it work?

The Soberana 02 vaccine is a conjugated vaccine. This is a type of vaccine that contains a portion of the spike protein that binds or conjugates to human cells to increase its stability and effectiveness.

Unlike other coronavirus vaccine candidates like Pfizer-BioNTech, Soberana 02 doesn’t require any additional cooling requirements. This should ease the logistical and administrative challenges associated with vaccination programs in low-income countries.

People line up in Havana to buy groceries on Feb.2, 2021 as Covid-19 cases emerge in the island nation.

YAMIL LOCATION | AFP | Getty Images

At a virtual session led by the Pan American Health Organization on February 5, Dr. Verez, Soberana 02 returned “encouraging results” in the early test phases. He added that the vaccination has not yet produced any significant side effects.

The Cuban government has announced that it will produce 100 million cans of Soberana 02 this year to meet the needs of its own citizens as well as those in other countries. It is said to be one of the first countries in the world to vaccinate its entire population in 2021, though many advanced nations started administering bumps almost two months ago.

Several countries have expressed an interest in purchasing the vaccine, including Vietnam, Iran, Venezuela and the African Union, which represents all 55 countries in Africa.

Cuba, which has seen relatively few Covid cases compared to other countries in the region, has seen a sharp rise in infections and deaths in recent weeks. To date, Cuba has recorded 45,361 cases of the coronavirus and 300 deaths, according to Johns Hopkins University.

“One of the world’s best kept secrets”

Cuba has long been known for its medical diplomacy. Thousands of professionals have been sent abroad to help countries cope with short-term crises, natural disasters and medical emergencies.

Human rights groups have raised concerns that the Cuban government is imposing repressive rules on doctors working abroad and invoking the right to privacy, freedom, expression and association.

At the start of the Covid-19 outbreak, Cuba had an estimated 24,500 medical workers in 58 countries. Another 4,000 members of the Cuban Henry Reeve Brigade, a group of highly respected health professionals, have worked in countries from Kuwait to Mexico, Italy to South Africa.

Cuban doctors during a welcoming ceremony for Cuban health workers deployed in Cape Town, South Africa, in the Western Cape on May 24, 2020 to support efforts in the fight against COVID-19.

Mischa Jordaan | Gallo Images via Getty Images

It’s a deeply rooted tradition that the country, with just over 11 million, has more medical staff working overseas than all of the G7 countries combined.

“This is an extraordinary recording, largely unknown to the mainstream media – one of the best-kept secrets in the world,” said John Kirk, a professor in the Latin America program at Dalhousie University in Nova Scotia, Canada, via email to CNBC.

“Medical internationalism is in Cuban DNA, and the preamble to the Cuban Constitution mentions the obligation that Cuba must share its medical talent with developing countries,” he added.

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How Significant Is Prediabetes for Older Adults?

Several years ago, routine laboratory tests showed that Susan Glickman Weinberg, then a 65-year-old clinical social worker in Los Angeles, had a hemoglobin A1C value of 5.8 percent, which was barely above normal.

“This is considered to be prediabetes,” said her internist. A1C measures how much sugar has circulated in the bloodstream over time. If her results hit 6 percent – still below the number that defines diabetes (6.5) – her doctor said he would recommend the widely used drug metformin.

“The thought that I might get diabetes was very annoying,” recalled Ms. Weinberg, who, as a child, had heard relatives talk about “this mysterious terrible thing”.

She was already on two blood pressure drugs, a statin for cholesterol and an osteoporosis drug. Did she really need a different recipe? She was also concerned about reports of tainted imported drugs. She wasn’t even sure what prediabetes meant or how quickly it could turn into diabetes.

“I felt like Patient Zero,” she said. “There were a lot of unknowns.”

Now there are fewer strangers. A longitudinal study of older adults published online this month in the journal JAMA Internal Medicine provides some answers to the very common intermediate disease known as prediabetes.

The researchers found that older people who were alleged to be prediabetic were more likely to have blood sugar levels return to normal over several years than they were with diabetes. And they were no more likely to die during the follow-up period than their counterparts with normal blood sugar.

“For most older adults, prediabetes should probably not be a priority,” said Elizabeth Selvin, epidemiologist at the Johns Hopkins Bloomberg School of Public Health in Baltimore and lead author on the study.

Prediabetes, a condition rarely discussed 15 years ago, refers to blood sugar levels that are higher than normal but have not exceeded the threshold for diabetes. It is usually defined by a hemoglobin A1C value of 5.7 to 6.4 percent or a fasting glucose level of 100 to 125 mg / dL; By midlife, it can indicate serious health problems.

A diagnosis of prediabetes means you are more likely to get diabetes and “that it leads to downstream disease,” said Dr. Kenneth Lam, a geriatrician at the University of California at San Francisco and author of an editorial accompanying the study. “It damages your kidneys, your eyes and your nerves. It causes heart attacks and strokes, ”he said.

But for an older adult just reaching higher blood sugar levels, that’s a different story. It takes years for these dire consequences to develop, and many people in the 70s and 80s won’t live long enough to face them.

This fact sparked debates for years. Should older people with blood sugar levels slightly above average – a common occurrence as the pancreas produce less insulin later in life – take action, as the American Diabetes Association has called for?

Or does the prediabetic labeling merely “medicalize” a normal part of aging and create unnecessary anxiety for those already dealing with multiple health problems?

Dr. Selvin and her colleagues analyzed the results of an ongoing national cardiovascular risk study that began in the 1980s. When 3,412 of the participants showed up for their physical and laboratory tests between 2011 and 2013, they were 71 to 90 years old and did not have diabetes.

However, prediabetes was widespread. Almost three quarters qualified as prediabetic based on their A1C or fasting blood sugar levels.

These results echo a 2016 study that noted that a popular online risk test created by the Centers for Disease Control and Prevention and the American Diabetes Association called doihaveprediabetes.org was almost all over Classifies 60-year-olds as prediabetic.

In 2010, a CDC review found that 9 to 25 percent of patients with an A1C of 5.5 to 6 percent will develop diabetes over a five-year period. This also applies to 25 to 50 percent of those with A1C values ​​of 6 to 6.5. However, these estimates were based on a middle-aged population.

When Dr. Selvin and her team five to six years later looked at what had actually happened to their older prediabetic cohort, only 8 or 9 percent had developed diabetes, depending on the definition used.

A much larger group – 13 percent of those whose A1C levels were elevated and 44 percent of those with prediabetic fasting blood sugar – actually saw their readings return to normal blood sugar levels. (A Swedish study found similar results.)

16 to 19 percent had died, about as much as without prediabetes.

“We don’t see a great deal of risk in these people,” said Dr. Selvin. “Older adults can have complex health problems. Those that affect quality of life should be the focus, not the slightly elevated blood sugar. “

Dr. Saeid Shahraz, health researcher at Tufts Medical Center in Boston and lead author of the 2016 study, praised the new research. “The data is really strong,” he said. “The American Diabetes Association should do something about it.”

It may be, said Dr. Robert Gabbay, the ADA’s scientific and medical director. The organization is currently recommending “at least annual monitoring” for people with prediabetes, referral to lifestyle change programs that have been shown to reduce health risks, and possibly metformin for those who are obese and under 60.

Now the association’s Professional Practice Committee is going to review the study and “it could lead to some adjustments in the way we think about things,” said Dr. Gabbay. For older people who are considered to be prediabetic, “their risk may be lower than expected,” he added.

Defenders of the emphasis on the treatment of prediabetes, which allegedly affects a third of the US population, suggest that initial treatment should learn healthy behaviors that more Americans should be adopting anyway: weight loss, smoking cessation, exercise, and eating healthy .

“A number of patients have been diagnosed with prediabetes and that motivates them to change,” said Dr. Gabbay. “They know what to do, but they need something to get them going.”

Geriatrists tend to disagree. “It is unprofessional to mislead people and motivate them for fear of something that is not really true,” said Dr. Lam. “We’re all tired of having things to be scared of.”

He and Dr. Sei Lee, co-author of the lead article on the new study and a fellow geriatrician at the University of California at San Francisco, advocates a case-by-case approach in older adults – especially if they are diagnosed with prediabetes and their children scold them at every crack.

For a frail and vulnerable patient, “you are likely to be dealing with a variety of other problems,” said Dr. Lam. “Don’t worry about that number.”

A very healthy 75-year-old who could live another 20 years is faced with a more differentiated decision. You can never progress to diabetes; She may also already be following recommended lifestyle changes.

Ms. Weinberg, now 69, sought help from a nutritionist, changed her diet to emphasize complex carbohydrates and proteins, and started walking and climbing stairs more instead of taking elevators. She lost 10 pounds that she didn’t have to lose. Over 18 months, her barely increased A1C value fell to 5.6.

Her friend Carol Jacobi, 71, who also lives in Los Angeles, received a similar warning around the same time. Her A1C was 5.7, the lowest number defined as prediabetic, but her internist immediately prescribed metformin.

Ms. Jacobi, a retired fundraiser with no family history of diabetes, did not feel concerned. She thought she could lose some weight, but she had normal blood pressure and an active life that included lots of walking and yoga. After trying the drug for a few months, she stopped.

Now no woman has prediabetes. Although Ms. Jacobi didn’t do much to lower her blood sugar and gained a few pounds during the pandemic, her A1C has also fallen to normal levels.

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‘Model would not matter. Get the primary vaccine out there,’ Dr. Vin Gupta says

The intensive care unit and the pulmonologist Dr. Vin Gupta told CNBC’s “The News with Shepard Smith” that patients should stop weighing the pros and cons of the Covid vaccine and still get the first shot in the arms as soon as possible, a new Israeli study that shows that the Pfizer vaccine will actually stop the spread of Covid.

“People say maybe I want the Pfizer vaccine instead of Johnson & Johnson or another,” said Gupta, a professor at the Department of Health Metrics and Assessment at the University of Washington, during an interview Monday evening. “That’s the wrong way to think about it. The brand here doesn’t matter. Get the first vaccine available.”

Gupta tweeted a photo of the lungs of a Covid patient who died of life support. The lungs developed holes that were once lung tissue, and Gupta said the vaccines can prevent this type of severe progression of the virus.

“This right-sided image is severe pneumonia that requires life support,” Gupta said. “All vaccines in the pipeline or approved prevent this, regardless of the variant.”

According to the Johns Hopkins University, the United States has exceeded 500,000 deaths from the coronavirus pandemic, and that’s twice as many as any other nation. In fact, the US has recorded an average of one death per minute over the past year.

President Joe Biden and Vice President Kamala Harris honored the lives lost on Monday with a moment of silence and a candle-lighting ceremony in the White House. White House press secretary Jen Psaki also ordered Biden to lower the state flags to half the staff for the next five days. The bells at Washington National Cathedral rang 500 times in memory of the Americans killed by Covid.

The grim milestone of the pandemic comes when virus numbers improve. According to Johns Hopkins, the average daily cases are 69,986, a 52% decrease in this month alone. The average daily deaths are 1,872, the lowest since December 2. Hospital admissions are down 41% this month alone, according to the Covid Tracking Project.

However, Gupta told host Shepard Smith that people shouldn’t give up their vigilance when it comes to the virus.

“I think right now we have to be very careful how we feel about this good news,” said Gupta. “We still have to be vigilant, but yeah, that’s really good news, bright at the end of the tunnel, hopefully by midsummer.”

The highly transmittable new Covid variants have surfaced in several places in the United States, according to the Centers for Disease Control and Prevention. The British variant was found in 44 states, the South African variant in 10 states and the Brazilian variant in 4 states.

Gupta noted that the US doesn’t have the sequencing technology to understand the “true spread” of the variants and is another reason for Americans to remain vigilant against the virus.

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U.S. Reaches 500,000 Covid Deaths

The virus has reached every corner of America, destroying dense cities and counties alike, with waves flowing through one region and then another.

In New York City, more than 28,000 people have died from the virus – or about one in 295 people. In Los Angeles County, the toll is roughly one in every 500 people. In Lamb County, Texas, where 13,000 people live in an area of ​​1,000 square miles, the loss is one in 163 people.

The virus has ravaged nursing homes and other long-term care facilities and spread easily among vulnerable residents: it causes more than 163,000 deaths, about a third of the country’s total.

Virus deaths have also disproportionately affected Americans across racial boundaries. Overall, the death rate for black Americans with Covid-19 was almost twice that of white Americans, according to the Centers for Disease Control and Prevention. The death rate for Hispanics was 2.3 times higher than for white Americans. And for Indians it was 2.4 times higher.

As of Monday, an average of 1,900 Covid deaths had been reported on most days – after more than 3,300 peak points in January. The slowdown was a relief, but scientists said variants made it difficult to project the future of the pandemic, and historians cautioned against turning away from the scale of the country’s losses.

“There will be a real urge to say, ‘See how well we’re doing,” said Nancy Bristow, chair of the history department at the University of Puget Sound in Tacoma, Wash. And author of American Pandemic: The Lost Worlds of the 1918 Influenza Epidemic. ”But she now warned of tendencies to“ rewrite this story into another story of American triumph ”.

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Covid vaccine shipments delayed by storm to reach by midweek: White Home advisor

Boxes containing the Pfizer-BioNTech COVID-19 vaccine are being prepared for shipment on December 13, 2020 at the Pfizer Global Supply Kalamazoo manufacturing facility in Portage, Michigan.

Morry Gash | Getty Images

All deliveries of Covid-19 vaccine doses delayed by the historic winter storm last week are expected to be delivered mid-week, Andy Slavitt, Senior White House Advisor for Covid-19 Response, said Monday.

Slavitt said Friday that shipments of about 6 million cans, equivalent to shipments worth about three days, were delayed by the storm.

“I reported on Friday that we would make up for the deliveries by the end of this week,” said Slavitt on Monday at the Covid-19 White House press conference. “We now assume that any remaining cans will be delivered by the middle of the week.”

He added that the federal government plans to ditch about 7 million vaccine doses on Monday, a combination of shots left behind from last week and some that should run out this week. He said the government’s ability to catch up quickly on the storm was thanks to members of the military and McKesson staff who the government hired to assist with distribution and logistics in getting the vaccine up and running.

“Seventy McKesson employees volunteered to work Saturday night and Sunday morning at 1am to prepare shipments for an 11am transit deadline,” he said, adding that UPS employees are also flexible on delayed deliveries could react.

Slavitt added that although the White House expected to catch up on the doses dispensed quickly, “it will take some time” for vaccination centers to catch up on vaccinations.

“We encourage vaccination centers to follow the same example of those who work longer hours to catch up on supplies by allowing more appointments to vaccinate the anxious public as soon as possible,” he said. Slavitt added that vaccination centers are still closed in some parts of the country that were particularly hard hit by the storm.

The pace of vaccination in Texas, rocked by the storm that left millions in the state without electricity, suffered badly. Slavitt said the 7-day average of daily doses received fell 31% over the past week.

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The way to Stroll Safely within the Snow, Ice and Slush

This has been an extremely challenging winter, especially for people like me in the top decades who struggled not only with pandemic loneliness and limitations, but also with snow-covered roads and ice-covered sidewalks.

I take my little dog to the park every morning for his run on a leash and often had to rely on the friendliness of strangers to navigate ice-glazed trails so I could return home in one piece.

I don’t so silently curse the neighbors who took it to their retreats for the winter in Covid without making sure their sidewalks are shoveled when it snows, which it did with particular vengeance in New York City this February.

Many in my neighborhood who shoveled only created a narrow path for hikers and could not clear the snow from the inner part of the sidewalk, where part of it regularly melted during the day and re-frozen at night, leaving a piece of black ice for pedestrians in the morning to slip and fall. An older friend who lives alone landed on one of those icy spots and broke her wrist, a challenging injury, but at least her hips and head remained intact.

It’s not that I don’t know how to walk on icy surfaces. I review the guidelines every winter thinking I was well equipped, but last year’s relatively mild winter may have left me feeling complacent and not paying enough attention to what to put on my feet. I changed my boots three times the other day without finding a pair that could reliably hold me upright over snowy, muddy, and icy terrain, even though they all supposedly have good rubber treads.

Maybe I should have consulted the Farmer’s Almanac for 2021. Had I foreseen how bad it could get, I might have reviewed the lab-tested advice of a research team at the Kite Toronto Rehabilitation Institute-UHN about the best non-slip shoes. It would have alerted me that none of the boots in my closet are really good, especially for someone my age exposed to the conditions I encountered on the streets of Brooklyn and Prospect Park this winter.

With the aim of keeping Canadian bones intact through long, icy winters, the team, led by Geoff Fernie, Professor of Biomedical Engineering at the University of Toronto, tested 98 different types of winter boots, both for work and use, in 2016 also for leisure, and found that only 8 percent of them met the laboratory’s minimum standard of slip resistance.

Using the so-called Maximum Achievable Angle test method, the team evaluated the slip resistance of shoes in a simulated winter indoor laboratory with an icy floor that can be inclined at increasing angles. While they are fastened to a harness to prevent a real fall when slipping, the participants run uphill and downhill on the ramp in the tested shoes over bare ice or melting ice. Shoes that prevent slipping when the ramp is set at an angle of at least seven degrees receive a single snowflake rating. Two snowflakes are awarded for slip resistance at 11 degrees and three snowflakes for 15 degrees. But 90 styles of shoes that were originally tested through 2016 didn’t get snowflakes, and none got more than one snowflake.

In the past few years, things have improved. 65 percent of the boots tested in 2019 received at least one snowflake, said Dr. Fernie in an interview. The latest reviews, which are constantly updated, can be found online at ratemytreads.com.

He explained that two types of outsole, Arctic Grip and Green Diamond, offer the best traction on ice. Green Diamond acts like rough sandpaper with hard sand in the rubber sole, which works best on cold hard ice. Arctic Grip soles contain microscopic glass fibers that point downwards to provide a firm footing on wet ice. You may find some brands that use both technologies in the same sole for protection on both hard and wet ice.

Unfortunately, I’ve tried too late in the current snow and ice season to find a pair my size, one of the top rated boots that Dr. Fernie’s lab has tested. So, for the time being, I have to rely on the Yaktrax clamps I bought years ago and try to get them onto my existing shoes.

Fogging up properly or not, knowing how to safely walk on snowy and icy surfaces is worth it.

My # 1 rule: never go out without a properly charged cell phone, especially when you are alone. Take it slow and use handrails on steps when available. If there’s nothing to hold on to on slippery steps, go sideways.

Walk like a duck or a penguin. The attitude is far from glamorous, but it could help keep you out of the emergency room. Extend your arms to the side to improve balance. Keep your hands out of your pockets; You may need them to prevent a possible fall. And wear gloves!

Bend forward a little from your knees and hips to lower your center of gravity and keep it aligned over your front leg as you walk. With your legs apart, slightly twist your feet outward and take short, flat steps. Or if that is not possible, mix at an angle from side to side to move forward without lifting your feet.

Pay attention to your surroundings and look ahead as you walk to avoid tripping hazards. If you are using a stick, secure the end with an ice pick made for this purpose. An ordinary rubber-tipped stick is not much better on ice than slippery shoes.

Avoid heavy packages that can throw you off balance. I use a backpack to carry small items or when I buy something larger I use a shopping cart.

And know how to fall to minimize the risk of serious injury. When you start to fall backwards, quickly tuck your chin against your chest to avoid hitting your head and straighten your arms away from your body so that your forearms and palms, not your wrists and elbows, hit the ground.

If you fall forward, try to roll to the side on landing so that a forearm, not your hand, hits the ground first.

Getting up from an icy surface can also be a challenge. If you are not injured, turn on your hands and knees. With your feet shoulder width apart, place one foot between your hands, then bring the other foot between them and try to push yourself up.

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CDC research reveals academics might play ‘central position’ in Covid unfold at colleges

A student is seen walking down the steps of PS 139 closed public school in the Ditmas Park neighborhood of Brooklyn, New York, United States on October 8, 2020.

Michael Nagle | Xinhua News Agency | Getty Images

School teachers and staff could play a “central role” in the transmission of Covid-19 in schools that fail to follow social precautions and precautions against facial covering. Vaccination for the disease could help get students back to class safely, according to a new state study released Monday.

The U.S. Centers for Disease Control and Prevention studied the spread of the coronavirus in eight Georgia public elementary schools in the same school district between December 1 and January 22, including 24 days of face-to-face study. During that period, the average number of cases per 100,000 residents of the county increases by nearly 300%, the study said.

The Federal Health Office, together with the state and local health authorities, found nine Covid-19 “clusters” in which 13 educators and 32 pupils at six of the eight primary schools were involved.

The median cluster size – defined as three or more linked Covid-19 cases – was six people, and one educator was the “index patient” or the first case identified in four of these clusters, the CDC found. One student was the first patient in a cluster while the other four clusters had an unidentifiable index patient.

All but one of the clusters included “at least one educator and a likely educator-to-student transfer,” according to the study.

“These results suggest that educators can play an important role in transmission in school and that transmission in school can occur when physical distance and mask compliance are not optimal,” the CDC researchers wrote in the study.

In the study, CDC researchers said they conducted interviews with parents, educators, and school principals and examined seating plans, classroom layouts, physical distancing, and adherence to recommended mask use in face-to-face learning to identify case links.

They found that social distancing recommendations were “less than ideal” followed across all nine clusters. Students sat less than three feet apart, and in many cases the virus was able to spread among students, and students could have spread in small group sessions, according to the study.

The results come just over a week since the CDC released new guidance on how to safely reopen schools to face-to-face learning despite the spread of the virus. Among the numerous recommendations, the CDC advises districts to introduce their reopening plans according to the severity of the outbreak in their areas.

It also states that schools should adopt “essential elements” for resumption of personal learning, including wearing masks, physical distancing, and monitoring the level of spread in the surrounding community.

While the CDC advised states to give priority to vaccinating teachers and staff “as soon as supplies permit,” the guidelines did not recommend it for reopening. However, the study, published Monday, suggested that vaccinating educators could be important in protecting the most vulnerable while reducing disruptions to personal learning and potentially preventing the virus from spreading in schools.

“While COVID-19 vaccination is not required for schools to reopen, it should be viewed as an additional mitigation measure that should be added as it becomes available,” the researchers wrote.

– CNBC’s Will Feuer contributed to this report.

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Health

She Beat Most cancers at 10. Now She’ll Be a part of SpaceX’s First Personal Journey to Orbit.

Hayley Arceneaux, 29, had hoped this would be the year she would achieve her goal of visiting all seven continents before she turned 30.

However, she won’t have time for it.

She goes into space.

Ms. Arceneaux, a medical assistant at St. Jude Children’s Research Hospital in Memphis, will be one of four people on a SpaceX Falcon 9 rocket taking off from Florida. It’s slated to launch later this year and be the first crewed mission to orbit Earth where no one on board is a professional astronaut.

“I asked, ‘Will I get a passport stamp to go into space?'” Ms. Arceneaux said. “But I don’t think I’ll do it. So I’ll just draw a star and the moon in one of my passports. “

This adventure is led by Jared Isaacman, a 38-year-old billionaire who announced in January that he had bought the rocket launch from SpaceX, the space company founded by Elon Musk. Mr. Isaacman said at the time that he wanted the mission to be more than an outing for the super rich and that he had given St. Jude two of the four available spots.

One of them will go to a random winner of a sweepstakes competition to raise money for the hospital, which treats children for free and develops cures for childhood cancer and other diseases.

The other seat, Isaacman said, is occupied by a front line health worker in St. Jude, someone who symbolizes hope.

On Monday, St. Jude and Mr. Isaacman officials announced that Ms. Arceneaux was the person they had selected.

Ms. Arceneaux could be the youngest American to ever travel to orbit. She will also be the first person to go into space with a prosthetic body. She was a patient in St. Jude nearly 20 years ago, and metal bars replaced parts of the bones in her left leg as part of her treatment for bone cancer.

In the past, this would have kept her firmly on the ground and would not have been able to meet NASA’s strict medical standards for astronauts. But the advent of privately funded space travel has opened the final frontier to some people who were previously excluded.

Dr. Michael D. Neel, the orthopedic surgeon who installed Ms. Arceneaux’s prosthesis, says that while artificial leg bones mean she can’t practice contact sports on Earth, they shouldn’t limit her on this SpaceX trek.

“It shows us that the sky is not the limit,” said Dr. Neel. “It’s Heaven and Beyond. I think that’s the real point of it all, that it has very few restrictions on what you can do. Unless you’re playing soccer up there. “

Ms. Arceneaux said she hoped to inspire patients at St. Jude.

“You will be able to see a cancer survivor in space, especially one who went through the same thing as you,” she said. “It will help you visualize your future.”

Richard C. Shadyac Jr., president of ALSAC, the St. Jude fundraising organization, said of Ms. Arceneaux, “If anyone was a symbol of hope, it was Hayley.”

Mrs. Arceneaux herself did not find out until early January that she would take a seat on the rocket. Hospital officials had vaguely told her there was an opportunity they wanted to talk to her about. She said she thought “maybe it would be a commercial or maybe give a speech somewhere.”

Instead, it was an opportunity to become an astronaut.

“I even kind of laughed,” said Ms. Arceneaux. “I thought: what? Yes. Yes, please, that would be great. “She added,” Let me talk to my mom. “

Her mother had no objection.

Ms. Arceneaux first stepped on St. Jude in 2002. She was 10 years old. She had earned her black belt in taekwondo shortly before, but complained of pain in her leg. Her mother saw a lump sticking out over her left knee. The pediatrician in the small town of St. Francisville, La., Where they lived not far from Baton Rouge, told them it was a cancerous tumor.

“We have all fallen apart,” said Mrs. Arceneaux. “I remember being so scared because by the age of 10 everyone I knew with cancer had died.”

In St. Jude, doctors gave the good news that the cancer had not spread to other parts of the body. Ms. Arceneaux had chemotherapy, prosthetic leg surgery, and long sessions of physical therapy.

Already at this young age, bald from chemotherapy, Ms. Arceneaux was helping with fundraising for St. Jude. The next year she was recognized by Louisiana Public Broadcasting with one of its Young Heroes Awards.

“When I grow up, I want to be a nurse in St. Jude,” she said in a video shown at the 2003 ceremony. “I want to be a mentor to patients. When they walk in I’ll say, “I had this when I was little and I’m fine.”

Last year Ms. Arceneaux was hired by St. Jude. She works with children with leukemia and lymphoma, such as a teenager she recently spoke to.

“I informed him that I had also lost my hair,” said Ms. Arceneaux. I said to him, ‘You can ask me anything. I am a former patient. I will tell you the truth, everything you want to know. ‘And he said,’ Are you really going to tell me the truth? ‘ And I said yes. “

His burning question: “Are you the one who goes into space?”

Mrs. Arceneaux had to evade. “I said, ‘Well, we’ll see who gets announced.'” She said. “But I think he knew because then he and his father said,” Yes! “and fifty.”

Ms. Arceneaux and Mr. Isaacman visited SpaceX’s California headquarters three times to meet with engineers and plan the trip. Unlike the missions SpaceX flies for NASA, it won’t go to the International Space Station, but will orbit the earth for three or four days before splashing off the coast of Florida.

“She has an adventurous spirit,” said Isaacman of Ms. Arceneaux. “And now she’s allowed to travel to the stars, which is pretty cool.”

It will be a few more weeks before they know who their companions will be.

The St. Jude Sweepstakes, featured in a television commercial that aired during the Super Bowl two weeks ago, will run until the end of the month. Around $ 9.5 million has been raised to date. That appears to be way below the $ 100 million Isaacman himself pledged for St. Jude, or the overall goal of $ 200 million. But Mr. Isaacman and Mr. Shadyac said the fundraiser was going beyond the sweepstakes and that they were happy with the progress.

“This is going to be a campaign that will last until launch,” said Shadyac.

The competition is structured in such a way that the amount of donations is effectively limited. Entry is free. A minimum donation of $ 10 buys 100 entries, and each additional dollar donated buys 10 additional entries, up to $ 1,000 for 10,000 entries.

There were some more expensive options that are now sold out. For example, Mr. Isaacman will give a donor who has donated $ 100,000 a ride on the Russian-built MiG-29 jet fighter he owns. The donor will also be given a trip to watch the launch at the Kennedy Space Center in Florida. But that donor still only has 10,000 entries in the contest, just like someone who donated $ 1,000.

Mr. Isaacman said this was a deliberate choice to prevent a wealthy person from trying to win the grand prize of a trip to space by buying millions of items.

“Will it represent everyone on earth and not just rich whites?” Mr. Isaacman said.

The fourth SpaceX seat goes to the winner of a competition sponsored by Shift4, Isaacman’s company, that sells terminals and point of sale systems for credit card processing to restaurants and other businesses. The “Shark Tank” -like competition calls on entrepreneurs to design an online shop with the Shift4 software and then publish a video on Twitter describing their business.

As of last week, fewer than 100 people had submitted full entries. “It means that once you’ve created and entered a Shift4 store, your chances are pretty amazing,” said Isaacman.

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Health

Particulars and dates of the way it might be lifted

British Prime Minister Boris Johnson, wearing a face mask to prevent the spread of the coronavirus, visits a pharmaceutical manufacturing facility during a visit to northeast England on February 13, 2021.

WPA pool | Getty Images News | Getty Images

British Prime Minister Boris Johnson will announce on Monday how and when lockdown restrictions will be lifted in England.

Government ministers are expected to discuss details of the “roadmap” to gently ease the lockdown on Monday morning. The Prime Minister will table the proposals in Parliament later that afternoon before holding a television press conference that evening.

Johnson is expected to release the latest data on infection rates, hospital stays and deaths, as well as early data on coronavirus vaccine effectiveness.

He is also expected to confirm schools in England will reopen on March 8th and provide further details on other restrictions that are due to be lifted.

The government said in a statement that the lifting of the country’s third lockdown since early January “will aim to balance health, economic and social factors with the latest epidemiological data and advice.”

Data, not data

Johnson has repeatedly said that the easing of measures will be cautious and “data, not data” driven. However, he also said he wanted the lifting of restrictions to be “irreversible” as he was being pressured by members of his Conservative Party to reopen the economy.

Still, the government has claimed that the easing must be gradual to avoid spikes in infection rates.

“Today I’m going to set up a roadmap to carefully get us out of lockdown,” Boris Johnson said in comments posted ahead of the announcement on Monday.

“Our priority has always been to get children back to school who we know are critical to their education, mental and physical well-being, and we will also prioritize ways that people can be safe with loved ones can come together. “

Patients arrive in ambulances at the Royal London Hospital in London on January 5, 2021. The British Prime Minister made a national televised address on Monday evening, announcing that England would take action against the Covid-19 pandemic for the third time. This week, the UK recorded more than 50,000 new confirmed Covid cases for the seventh straight day.

Dan Kitwood | Getty Images News | Getty Images

“Our decisions are based on the latest data at every step, and we will be careful with this approach so that we do not see the progress made so far and the sacrifices each and every one of you has made to save yourself and yourself cancel.” others sure, “he added.

Four key tests

Johnson said the government has set four key tests that must be passed before Britain can go through each step of the plan. These are:

  • That the vaccine delivery program will continue successfully.
  • There is evidence that vaccines are sufficiently effective in reducing hospital stays and deaths among those vaccinated.
  • The infection rates do not risk an increase in hospital stays that would not put sustained pressure on the national health service.
  • That the assessment of the risks will not be fundamentally changed by new, questionable coronavirus variants.

The government said the first step in lifting lockdown restrictions will be on March 8 as the four tests are currently being met. The government has already announced that nursing home residents will be able to have a visitor from this date.

After schools reopened, the government has signaled that further measures could be eased to allow limited outdoor socializing and sports.

The BBC reported Monday that as of March 29, outdoor gatherings of six people or two households are expected and that outdoor sports facilities like tennis or basketball courts could reopen. The broadcaster added, “People are also believed to be able to leave their areas again – although leadership will likely continue to recommend staying on-site and overnight stays are not allowed.” It is uncertain when pubs, restaurants and non-essential stores will be allowed to reopen.

Variants and vaccinations

One silver lining in Britain’s experience with the pandemic has been the vaccination response. It was the first country in the world to approve a coronavirus vaccine, the candidate from Pfizer and BioNTech, and passed the shot down to the oldest members of the population, nursing home workers, and health and hospital workers in early December.

Subsequently, the AstraZeneca / University of Oxford vaccine was approved and administration started, a cheaper vaccine made in the UK and easier to transport and store than competing vaccines, which allows for an enviable vaccination rate to be maintained.

Since then, the rollout has expanded to include more priority groups, such as those classified as clinically vulnerable, and plans to vaccinate every adult UK citizen before the end of July with a move towards this target from September. As of Saturday, more than 17.5 million adults had received their first dose of a coronavirus vaccine, with over 600,000 having received both doses, according to government figures.

Florian Hense, chief economist at Berenberg, told CNBC on Monday that “the rest of the world is looking to the UK” to see how the restrictions are lifted.

“There are a number of issues as to why the UK should do reasonably well over the next few months as it has cut infections so much … and there is more news on how effective the vaccines are. But of course it goes on for a few months to get back to normal, “he said.

Ed Davey, leader of the opposition Liberal Democrats, told CNBC that the government was right to prioritize children’s return to school, but questioned the logic of all students returning at the same time, which has also been raised by teachers and unions .

“If there was a fourth lockdown because the prime minister got it wrong again, it would be a disaster for our schools and businesses,” he said. “So the Liberal Democrats are saying that we of course welcome a reopening, but let’s do it so that a fourth lockdown is prevented and avoided.”

The data show that new infections are on the decline. Previous studies show that coronavirus vaccines also help prevent transmission of the virus and prevent serious illness.

77,432 new cases of coronavirus have emerged in the UK in the past seven days, a 16.2% decrease from the previous weekly count. The number of deaths in the past seven days (3,414 deaths) is also 27.4% lower than the previous seven days. Hospital stays are also decreasing.