Categories
Health

Time Is Operating Out to Get U.S. College students Vaccinated by Fall

In the middle of summer, the school may seem blissfully distant to American students. But for many eligible, time may be running out to return to school: a full vaccination against the coronavirus before classes resume.

Many of the country’s 13,000+ counties, particularly in the south and southwest, plan to start the 2021-22 school year well before Labor Day. Completing a regimen of Pfizer-BioNTech’s vaccine, the only vaccine now approved for 12 to 17 year olds, takes a minimum of five weeks for the two vaccinations to be given and for full protection to be achieved. In many of these early-starting districts, students would need to get their first dose in the next few days to be fully immune in time.

In the Hamilton County School District, Tennessee, the first day of school is scheduled for August 12th. From then on, the students would have to get their first shot no later than Thursday in order to be fully protected by the opening day.

Cody Patterson, a spokesman for the district, which includes Chattanooga and serves 45,000 students, recently said that while vaccinations are not mandatory for the new school year, the district made it clear to parents “that we believe vaccination is a key strategy to get around to keep the school ”. to open.”

Mr Patterson said individual schools in the district would likely accept students on a case-by-case basis if they were concerned about completing their vaccinations.

Schools across the country were closed and switched to online classes when the pandemic broke out last year. But as the pandemic progressed, research showed that elementary and secondary schools weren’t the main drivers of infection.

Colleges are a different matter, with a number of breakouts on campus. Many colleges (along with some private secondary schools) require vaccinations to allow students to attend in person this fall. This is more difficult for public middle and high schools for legal and other reasons, and a spokesman for the American Federation of Teachers recently said the union was not aware of any U.S. school district that required vaccinations.

Updated

July 7, 2021 at 11:27 p.m. ET

A vaccine for 12 to 15 year olds has only been available in the US since May. In many states, teenagers require parental consent to be vaccinated. No vaccine is yet approved for children under 12 years of age.

Michael Poore, the superintendent of the Little Rock School District in Arkansas, recently said the district contacted parents, worked with local health officials, and did extensive publicity work on local and social media to convince students and their parents to get a vaccine to get.

The district also hosted vaccination events at its 11 middle and high schools, he said, but only 300 to 400 of the district’s approximately 11,000 eligible students received vaccinations at the events.

School in Little Rock begins August 16th. In order to be fully protected by then, students would have to receive their first dose by Monday.

“We’re really going to be pushing the vaccines in August,” said Mr Poore, “because if you haven’t received the vaccination and are in close proximity to someone who has the virus, you must be quarantined.”

In some places, it’s too late for unvaccinated students to fully protect themselves before school, such as the Chandler Unified School District in Arizona, which will reopen on July 21.

Kimberly Guevara, a district spokeswoman, said the district recently informed parents when the vaccine was approved for teenagers and told them how to get a vaccination, but “we will not force vaccinations on students.”

Ms. Guevara said that she and the eligible members of her family were vaccinated as soon as possible.

Categories
Health

5 vaccinated international locations with excessive Covid charges depend on China vaccines

Covid-19 vaccines from Chinese companies Sinopharm (left) and Sinovac arrived at Phnom Penh International Airport in Cambodia on June 8, 2021.

Sovannara | Xinhua News Agency | Getty Images

Among the countries with both high vaccination rates and high Covid-19 infection rates, most rely on vaccines made in China, a CNBC analysis shows.

The results come as the effectiveness of Chinese vaccines comes under increasing scrutiny, compounded by a lack of data on their protection against the more transmissible Delta variant. CNBC found that weekly population-adjusted Covid cases have remained elevated in at least six of the world’s most heavily vaccinated countries – and five of them rely on vaccines from China.

CNBC identified 36 countries with more than 1,000 weekly new confirmed cases per million people on July 6, using figures from Our World in Data, which compiles information from sources such as the World Health Organization, governments and Oxford University researchers. CNBC then identified countries among those 36 where more than 60% of the population had received at least one dose of the Covid vaccine.

There were six countries, and five of them use Chinese vaccines as an essential part of their national vaccination programs: United Arab Emirates, Seychelles, Mongolia, Uruguay, and Chile. The only country among them that does not rely on Chinese vaccines is the United Kingdom.

The UK has now approved vaccines from Moderna, AstraZeneca-Oxford, Pfizer-BioNTech and Janssen. Covid cases in the UK have increased in recent weeks as the more transmissible Delta variant has spread there.

Sinopharm and Sinovac did not respond to CNBC requests for comment.

Several factors can lead to an increase in Covid cases in countries with high vaccination rates. Vaccines do not offer one hundred percent protection, so those who are vaccinated can still get infected. At the same time, new variants of the coronavirus might prove better at overcoming vaccines.

The best option for many countries

Countries shouldn’t stop using Covid-19 vaccines from China, epidemiologists say, especially when vaccine supplies are limited in low- and middle-income countries.

Many of the countries and territories that have approved Sinopharm and Sinovac vaccines are developing countries that cannot compete with wealthier countries for vaccines developed in the United States and Europe.

Ben Cowling, a professor in the University of Hong Kong’s School of Public Health, said countries could choose to use certain vaccines depending on their long-term goals.

“Some countries may accept low prevalence as long as there are relatively few serious cases and deaths from COVID-19,” Cowling, who heads the school’s epidemiology and biostatistics department, told CNBC in an email. “That should be achievable with a high coverage of all available vaccines.”

However, some countries avoid vaccines in China. Costa Rica turned down shipments of vaccines developed by Sinovac last month after it concluded they were not effective enough.

WHO approval

The World Health Organization has approved Sinopharm and Sinovac vaccines for emergency use.

The two Chinese vaccines are less effective than Pfizer-BioNTech and Moderna, both of which have shown greater than 90% effectiveness.

Sinopharm’s vaccine is 79% effective against symptomatic Covid infections, the WHO says, but its effectiveness in certain groups – such as people over 60 – is not clear. The effectiveness of Sinovac’s shot ranges from around 50% to over 80%, depending on the country in which the trials took place.

Experts say that the results cannot be directly compared between clinical trials because each study is structured differently. However, a study in Hong Kong found “significantly higher” antibody levels in people who received the BioNTech injection compared to those who received the Sinovac vaccine, the South China Morning Post reported.

Some experts suggest that the technology behind the various Covid vaccines could explain differences in their effectiveness.

Sinopharm and Sinovac vaccines trigger an immune response by exposing the body to a weakened or “inactivated” virus – a proven method that vaccines have used for decades. Pfizer-BioNTech and Moderna based their vaccines on a technology called messenger RNA, which instructs the body to make viral proteins that trigger an immune response.

“Inactivated vaccines are easy to make and are known for their safety, but tend to have a weaker immune response compared to some other vaccine types,” wrote Michael Head, Senior Research Fellow on Global Health at the University of Southampton in the UK, in an article, published on The Conversation website.

Still, large phase three clinical trials showed that inactivated vaccines were “highly effective against serious illness and death” from Covid, Cowling said.

The professor told CNBC that the spikes in Covid cases in some countries using Chinese vaccines “are typically an increase in mild infections with very few severe cases in fully vaccinated people”.

‘Herd Immunity’

When vaccines are less effective, more people need to be vaccinated to achieve “herd immunity”. This happens when the virus stops being transmitted quickly because most people are immune to vaccination or have recovered from an infection.

Some countries decided to try to achieve herd immunity at the beginning of the pandemic, but are not known to have succeeded. Some who said they would achieve herd immunity, like Sweden, have been hit much harder by Covid than neighboring countries that have taken the vaccination route.

A study by the Kirby Institute at the University of New South Wales in Sydney claimed that in the Australian state of New South Wales, herd immunity could be achieved if 66% of the population were given vaccines that were 90% effective against all infections.

The percentage of the population who needs to be vaccinated increases to 86% when vaccine effectiveness is 70%, and herd immunity is not achievable when vaccine effectiveness is below 60%, the study showed.

Categories
Health

Sluggish-Wheeling to the Sea – The New York Occasions

“People will be watching,” warned Minna Caroline Smith at Lapham’s Quarterly about her groundbreaking three-wheeler tour of the North Shore in eastern Massachusetts. Not only were the adult self-propelled tricycles new, so were the women who rode them. It was 1885.

The gender shock may be gone now, but as the only person who drove a tricycle on the same streets a century and later, I knew exactly what the incisive Smith meant. My weekend travel comfort, a low recumbent tricycle that was driven with hands instead of feet, was probably even more attention-grabbing. This was a first attempt at adaptive bike touring. After riding around the world for a lifetime, I switched to a handwheel after suffering from spinal cancer and a complication that partially paralyzed my legs.

I hesitated at first as I was aware of how low the riding would look. When I finally flipped the mental switch, I went all-in. In the ultra-light performance trike I rented from a store called Northeast Passage in Durham, NH, I was on my back with my legs hanging on aluminum hangers as if they were stretched out on a low chaise longue with my head and my longue Upper body on a back pillow for my husband. The pedal handles were at eye level, the black cranks and the silver chain whirred around like a hamster wheel in front of me. A long pole with flashing LED lights and an orange flag pulled behind me to alert the rest of the world to me.

In two days as I retraced Smith’s 35-mile route from Malden Center to Cape Ann, kids raved about me and my curious device, and young adults secretly stuck their iPhones out of car windows to catch me on video. One yelled so unreservedly that it shook the quiet of the village in Manchester by the sea.

“Are you falling asleep in that thing?” an elderly man in the Magnolia neighborhood of Gloucester asked eagerly. At Singing Beach in Manchester, a driver complained that I was difficult to see and suggested safety. “You should go find a lead somewhere, ”he said.

I was happy to be able to ride again. I identified with the 19th century Smith, not as a free-thinking crusader but as part of the disenfranchised – a disabled man trying to join the fun with healthy bodies. I felt a tie. Our modern, mixed-gender, middle-aged group consisted of six riders: some experienced cyclists, some beginners. My wife Patty used an e-bike with pedal assistance, the rest of them standard racing bikes. The mood would be reserved; there was no need to rush.

Boston’s North Shore has always been a top cycling destination. In and Around Cape Ann, a popular guide book for cycling guides published in the 1880s, praised the view from the mostly well-maintained and stepped dirt roads. In 1898, in the heyday of the bicycling frenzy in front of the car, a Boston newspaper printed a richly illustrated map of our bike tour route with hand-drawn panels devoted to snapshots of bridges, churches, gates shaded by elms, and the signature of views off the coast.

The start of the modern route wasn’t a postcard from Currier & Ives – a busy Route 60 lay in front of our assembly point in the parking lot of the suburban hockey rink. But minutes later, the automotive commotion disappeared as we hit the Northern Strand Trail, a eight-mile, newly built railroad path through Everett, Malden, Revere, Saugus and the coastal town of Lynn. The trail is also part of the East Coast Greenway, a partially completed 3,000-mile cycle and pedestrian network connecting cities from Key West, Florida, to Calais, Maine.

The wide, well-marked path was a revelation, creatively lined with community gardens, living murals, public sculptures, and various green spaces and expansive salt marshes. The road surface started with asphalt and then continued on gravel and gravel (there have been several improvements to the trails since our ride in Northern Strand in 2019, including a nice new bridge over the Saugus River and pavement while).

We crossed the path under the Route 1 flyover and around the Revere Showcase Theaters. All of us, lifelong New Englanders and some who live just a handful of miles away, kept saying a variation of the same: We had no idea this was.

The Rumney Marsh Reservation, a beautiful 600 acre salt marsh that borders the trail and encompasses parts of Saugus and Revere, would have made Smith’s poetic heart beat faster. Just five miles from downtown Boston, the habitat was a stopover for migratory birds and a constant gathering place for majestic tidal giants such as great blue herons, one of which we saw flying overhead.

As expected, large oaks and birches lined the path; unlikely to have splintered shallow-rooted maples over it, the result of a recent northeast. On the eight miles of bike-to-sea path between Malden and Lynn’s winding coastal boulevard, at least half a dozen trees had fallen, triggering all sorts of inventive bypasses: under, over and basically through the roughage.

My Low Rider, which is not necessarily seen as a versatile all-terrain machine because the seat is only a few inches above the ground, was actually so low that I could roll under splintered branches. Where I couldn’t, I accepted a nudge, or even, in the case of a crumbling Saugus River footbridge, a brief transfer. I wasn’t demoralized – I needed help. It was an all-for-one, one-for-all group adventure.

We drove one last paved, car-free path into downtown Salem, which is part of a new network of protected lanes throughout the city, which are reached at the start and finish through black metal gates that are reminiscent of high bikes. Smith’s group also stopped here for lunch and for a tour portrait shot at the iconic 17th-century Salem Common.

We knew about the photo from digital reproductions, but were surprised that the Essex Institute original was framed and hung three and a half meters in the Witch City Mall. Her formal attire – long dark dresses for the women, military-style uniforms for the men – belied her unmistakable sense of self-irony.

Above all, the men were ham sitting on the ground in front of their thrown high bikes, as the high-wheel bikes of the time were called. One of the riders looked to the side, as if pondering a bewitching vision (he was looking exactly south of today’s Goodnight Fatty), the sensational mainstay of biscuit and soft serve in the brick courtyard across the street.

The 1885 ladies lost much of their party after the official photo was taken; the rest of the riders continue to an inn in Manchester. We didn’t get quite that far and ended a 20-mile day at the Wylie Inn in Beverly City. The inn (owned and operated by Endicott College) is on a historic summer estate and is one of several stately homes on the Gold Coast that sit on headlands and secluded boardwalks.

The next day we happened to meet the owners of one of the advertised properties. We were admiring a perfectly formed cove at Kettle Cove in Gloucester, about ten kilometers northeast of the Wylie Inn, when an elderly couple stepped out of a hidden, overgrown path onto the coastal road. “This is Black Beach,” offered the man, dressed practically in high waders, a shell jacket and heavy, shrub-repellent gloves. “The other is white, but we don’t call them that, we call them Pebbly and Sandy. “

My father, Oliver Balf, was one of the many New York artists who came to Cape Ann in the 1940s. Like many others, he came in the summer and stayed forever. I’m pretty sure that as a young man his gaze was drawn to the same open-air backdrops we’ve seen all weekend: the working fishing boats chugging in the pocket harbors, low banks of starchy offshore clouds against a wide, blue sky with cold water .

On the second day we cycled the long route between Beverly Farms and Gloucester, branching off Route 127 onto Ocean Street and Shore Road, each of which offers breathtaking branch routes with ocean views. We came across a sign etched in granite that said WOE TIDES and a weathered wooden arrow over a stone for Old Salem Path. In an attempt to take a shortcut back to Main Street, we bypassed Thunderbolt Hill, a steep, curving, granite-lined street near Singing Beach in Manchester, where James Fields, founder of The Atlantic Monthly, was once Henry Wadsworth Longfellow, Nathaniel Hawthorne, entertained, and Ralph Waldo Emerson.

The tour with a hand trike, two large wheels behind me and a third in the middle in front, was surprisingly great. Of course I sat there, could relax and enjoy the passing landscape in peace. But I was entertained excitingly on the descent, leaning like a slalom driver to quickly carve corners. The pedaling power of my upper body was consistent and reliable, and as the tour continued I didn’t feel any different, even though I knew I looked different. Trikes and e-bikes ensure a level playing field. More inclusive tours and a wider variety of them are likely to follow. But it was also good to know that you can go cycling with old cycling friends, one of whom thought the whole weekend in a historic tweed vest, tie and shirt with a collar.

Minna Caroline Smith had originally planned that her trip should end in Magnolia, but a growing craving for Gloucester clams brought her another six kilometers to a hotel near Pavilion Beach. We thought the trip would end in downtown Gloucester as well, but after a perfect fried fish and chowder lunch at the Causeway Restaurant, a local lunchtime eatery, we drove on a total of 12 miles to circumnavigate Cape Ann and complete the day.

Todd Balf is the author of several non-fiction books and most recently a memoir about his disability journey entitled Complications.

THE WORLD OPENS AGAIN. LET’S GO SAFE. Follow New York Times Travel on Instagram, Twitter and Facebook. And sign up for our Travel Dispatch newsletter: every week you will receive tips on smart travel, stories about hot travel destinations and access to photos from all over the world.

Categories
Health

Quidel recollects Lyra Covid take a look at attributable to excessive threat of false detrimental outcomes

A man inquires in a mobile test car in Brooklyn, New York, the United States, Jan.

Brendan McDermid | Reuters

Quidel is recalling its Lyra Covid-19 assay test due to a high risk of false negative results in patients who actually have high levels of the virus.

Quidel is a company that makes diagnostic health products worldwide. The Covid test received emergency approval from the Food and Drug Administration in March. It uses a swab sample from the nasal area to detect RNA that is specific for the SARS-CoV-2 virus.

“False-negative results can lead to delayed diagnosis or inadequate treatment of SARS-CoV-2, which can harm the patient, cause serious illness and death,” the FDA wrote on its website announcing the recall.

False negative results could also spread the virus further into a community, putting others at high risk of injury or death.

Quidel has received five complaints about the product, but there are currently no reports of injury or death from its use. The company’s stock plunged around 5% in after-hours trading.

Categories
Health

Fitbits Detect Lasting Modifications After Covid-19

Last spring, when the nation’s Covid-19 cases were soaring and tests were in short supply, some scientists wondered whether a new approach to disease surveillance might be on Americans’ wrists.

One in five Americans uses a Fitbit, Apple Watch or other wearable fitness tracker. And over the past year, several studies have suggested that the devices — which can continually collect data on heart rates, body temperature, physical activity and more — could help detect early signs of Covid-19 symptoms.

Now, research suggests that these wearables can also help track patients’ recovery from the disease, providing insight into its long-term effects.

In a paper published on Wednesday in the journal JAMA Network Open, researchers studying Fitbit data reported that people who tested positive for Covid-19 displayed behavioral and physiological changes, including an elevated heart rate, that could last for weeks or months. These symptoms lasted longer in people with Covid than in those with other respiratory illnesses, the scientists found.

“This was an interesting study, and I think it’s important,” said Dr. Robert Hirten, a gastroenterologist and wearables expert at the Icahn School of Medicine at Mount Sinai who was not involved in the new work. “Wearable devices offer an ability for us to be able to monitor people unobtrusively over long periods of time to see in an objective way — how really has the virus affected them?”

The results are from the Digital Engagement and Tracking for Early Control and Treatment (DETECT) trial run by scientists at the Scripps Research Translational Institute in La Jolla, Calif. From March 25, 2020 to Jan. 24, 2021, more than 37,000 people enrolled in the trial.

Participants downloaded the MyDataHelps research app and agreed to share data from their Fitbit, Apple Watch or other wearable device. They also used the app to report illness symptoms and the results of any Covid-19 tests.

In October, the same researchers reported in Nature Medicine that when they combined wearable data with self-reported symptoms, they could detect Covid-19 cases more accurately than when they analyzed symptoms alone.

But the data, the researchers realized, could also help them track what happened to people after the worst of the illness had passed. People recovering from Covid have reported a wide range of lasting health effects, including fatigue, “brain fog,” shortness of breath, headache, depression, heart palpitations and chest pain. (These lingering effects are often known as long Covid.)

The new study focuses on a subset of 875 Fitbit-wearing participants who reported a fever, cough, body aches or other symptoms of a respiratory illness and were tested for Covid-19. Of those, 234 people tested positive for the disease. The rest were presumed to have other kinds of infections.

Participants in both groups slept more and walked less after they got sick, and their resting heart rates rose. But these changes were more pronounced in people with Covid-19. “There was a much larger change in resting heart rate for individuals who had Covid compared to other viral infections,” said Jennifer Radin, an epidemiologist at Scripps who leads the DETECT trial. “We also have a much more drastic change in steps and sleep.”

The scientists also found that about nine days after participants with Covid first began reporting symptoms, their heart rates dropped. After this dip, which was not observed in those with other illnesses, their heart rates rose again and remained elevated for months. It took 79 days, on average, for their resting heart rates to return to normal, compared with just four days for those in the non-Covid group.

Updated 

July 7, 2021, 1:59 p.m. ET

This prolonged heart rate elevation may be a sign that Covid-19 disrupts the autonomic nervous system, which regulates basic physiological processes. The heart palpitations and dizziness reported by many people who are recovering from Covid may be symptoms of this disruption.

“Lots of people who get Covid end up getting autonomic dysfunction and a kind of ongoing inflammation, and this may adversely affect their body’s ability to regulate their pulse,” Dr. Radin said.

Sleep and physical activity levels also returned to baseline more slowly in those with Covid-19 compared to those with other ailments, Dr. Radin and her colleagues found.

The researchers identified a small subset of people with Covid whose heart rates remained more than five beats per minute above normal one to two months after infection. Nearly 14 percent of those with the disease fell into this category, and their heart rates did not return to normal for more than 133 days, on average.

These participants were also significantly more likely to report having had a cough, shortness of breath and body aches during the acute phase of their illness than did other Covid patients.

One limitation of the study is that it did not ask participants to continue reporting their symptoms in the weeks and months after they first fell ill. But the scientists are planning to ask volunteers to do that in future research.

“We want to kind of do a better job of collecting long-term symptoms so we can compare the physiological changes that we’re seeing with symptoms that participants are actually experiencing,” Dr. Radin said. “So this is really a preliminary study that opens up many other studies down the road.”

In February, the National Institutes of Health announced that it would provide $1.15 billion over the next four years to fund research on long Covid. The new study highlights the role that wearables could play in that research, Dr. Hirten said: “Combining these sort of techniques with other studies that are being done looking at this issue of long-term symptoms could really offer a nice objective insight into what’s going on with people.”

Categories
Health

Greenback Basic hires chief medical officer, boosts health-care objects

A customer walks into a Dollar General Corp. store on Wednesday, September 10, 2014. in Colona, ​​Illinois, USA.

Daniel Acker | Bloomberg | Getty Images

Dollar General announced on Wednesday that it has hired its first chief medical officer and will be selling products such as cold and cough medicines, and dentures, to become a health care destination.

CEO Todd Vasos said the company’s new foray was inspired by customers who want more convenient and affordable health products and services.

“Our goal is to build and improve affordable health services for our customers, especially in the rural communities we serve,” he said in a press release.

The fast-growing discounter has more than 17,400 stores across the country, including many in rural areas that don’t have many other grocery stores or large pharmacies nearby. However, it has been criticized by some lawmakers for selling few healthy foods such as fresh fruits and vegetables, crowding out other retailers who would otherwise open up in the areas and sell a wider variety of foods.

In recent years, Dollar General has added fresh produce and meat to more of its business. It has fresh produce in more than 1,300 stores – or about 7% of its total stores. It has announced that the range can be expanded to up to 10,000 stores.

It has also tried new avenues of medical care. Last month, free Covid-19 testing was offered in select locations as part of a partnership with the Virginia Department of Health. The Centers for Disease Control and Prevention said they were in talks with the company about converting stores into Covid vaccine sites, although the CDC and Dollar General have not yet announced official plans.

Dollar General’s new and remodeled locations will also create space for more aisles of health products and cool boxes for groceries. The company announced in the spring that it is building bigger stores as it is opening more than 1,000 new locations this year.

On Wednesday the retailer said it had Dr. Albert Wu hired as Chief Medical Officer. He previously worked for McKinsey & Company, where he led a team focused on health-related projects such as caring for thousands of rural patients, modeling support for pandemic relief efforts and developing digitally driven health insurance.

Wu joined Dollar General on Monday, according to a press release. Dollar General said it will focus on building relationships with companies that offer health products and services so the retailer can launch their own offerings.

In a research note, Jefferies analyst Corey Tarlowe said the expansion into healthcare will help the retailer gain market share and increase profitability as customers visit stores more regularly and toss additional items into shopping carts. In particular, drug stores are a place where Dollar General steals market share, he said. Dollar General’s prices are typically 40% cheaper than drug stores, 20% cheaper than grocery stores, and in line with bulk retailers, according to the company’s research.

With the effort, he said, “Dollar General continues to cement the company’s moat” as a leader among value and discount retailers.

Categories
Health

Gradual-Wheeling to the Sea – The New York Occasions

“People will look,” warned Minna Caroline Smith in Lapham’s Quarterly about her pioneering tricycling touring of the coastal North Shore in eastern Massachusetts. It wasn’t just that the self-powered adult tricycles were novel, but so, too, were the women riding them. It was 1885.

The gender shock may now be gone but as the only person steering a tricycle on the same roads a century plus later, I knew exactly what the incisive Smith meant. My weekend travel convenience, a low-riding recumbent trike powered by hands instead of feet, was arguably even more attention-getting. This was a first try at adaptive bike touring. After a lifetime of riding around the world, I was changing to a hand cycle after spine cancer and a complication that left my legs partially paralyzed.

I had hesitated initially, aware of how low-riding would look. When I finally flipped the mental switch, I went all in. In the ultralight, performance trike I had rented from a shop called Northeast Passage in Durham, N.H., I was supine with my legs suspended in aluminum stirrups as if stretched on a low chaise longue with my head and upper torso propped up with a back-cradling husband pillow. The pedal hand grips were eye level, the black cranks and silver chain whirring around in front of me like a hamster wheel. A long pole with blinking LED lights and an orange flag trailed behind me to alert the rest of the world to notice me.

In two days retracing Smith’s 35-mile route from Malden Center to Cape Ann, I had kids gush at me and my curious rig, and young adults clandestinely stick their iPhones out car windows to catch me on video. One person whooped so unreservedly it shattered the village quiet in Manchester by the Sea.

“Do you fall asleep in that thing?” an older man in the Magnolia section of Gloucester asked covetously. At Manchester’s Singing Beach, a motorist complained I was hard to see and offered a safety suggestion. “You should go find a track somewhere,” he said.

I was glad to be riding again. I identified with the 19th-century Smith, not as a freethinking crusader exactly, but as part of the disenfranchised — a disabled man trying to join able-bodied fun. I felt a tie. Our modern, mixed-gender, middle-aged party consisted of six riders: a few experienced cyclists, others first timers. My wife Patty used a pedal assist e-bike, the rest standard issue road bikes. The vibe would be low key; there was no need to rush.

Boston’s North Shore has always been a premier cycling destination. “In and Around Cape Ann,” a popular wheelman’s guidebook published in the 1880s, lauded the views from the largely well-tended and graded dirt lanes. In 1898, in the heyday of the pre-car bike riding mania, a Boston newspaper printed a lavishly illustrated map of our bike touring route, devoting hand-drawn individual panels to snapshots of bridges, churches, elm tree-shaded gateways and signature offshore views.

The modern route’s start was no Currier & Ives postcard — a bustling Route 60 fronted our suburban hockey rink parking lot gathering point. But minutes later the automotive tumult disappeared as we set out on the Northern Strand Trail, an eight-mile, newly constructed rail trail through Everett, Malden, Revere, Saugus and coastal Lynn. The trail is also part of the East Coast Greenway, a partially completed 3,000-mile bike and pedestrian network linking towns and cities from Key West, Fla., to Calais, Maine.

The wide, well-marked trail was a revelation, creatively bordered with community gardens, vibrant murals, public sculpture and assorted green spaces and sprawling salt marshes. The road surface began with pavement then continued on gravel and dirt (since our Northern Strand ride in 2019 there have been several trail improvements, including a handsome new bridge across the Saugus River, and pavement throughout.)

We traversed on the trail beneath the Route 1 overpass and around the Revere Showcase cinemas. All of us, lifetime New Englanders and some living only a handful of miles away, kept saying some variation of the same thing: We had no idea any of this was here.

The Rumney Marsh Reservation, a gorgeous 600-acre salt marsh bordering the trail and spanning parts of Saugus and Revere, would have sent Smith’s poetic heart soaring. Only five miles from downtown Boston, the habitat was a stopover for migratory birds and a permanent hangout for majestic tidal giants like great blue herons, one of which we saw flying overhead.

Large oak and birch trees, as expected, lined the path; not expected were shallow-rooted Norway maples splintered across it, the result of a recent nor’easter. Over the eight miles of the Bike-to-Sea path between Malden and Lynn’s winding seaside boulevard there were at least a half dozen trees down, precipitating all types of inventive bypasses: under, over and basically through the roughage.

My low rider, not necessarily viewed as a versatile all-terrain machine because the seat bottom is mere inches from the ground, was actually so low I could roll beneath splintered tree limbs. Where it couldn’t, I accepted a nudge, or even in the case of a then-crumbling Saugus River footbridge, a brief portage. I wasn’t demoralized — I needed help. It was an all-for-one, one-for-all group adventure.

We rode a final paved, auto-free path into downtown Salem, part of a new network of protected lanes throughout the city, this one accessed at start and finish by black metal gates resembling high wheelers. Smith’s group stopped here, too, for lunch, as well as for a touring portrait taken at the iconic, 17th-century Salem Common.

We knew about the photograph from digital reproductions, but were surprised to find the Essex Institute-owned original framed and hung in three-and-half by two-and-half-foot glory at the Witch City Mall. Their formal attire — long dark dresses for the women, militarylike uniforms for the men — belied their unmistakable sense for self-satire.

The men in particular were hams, sitting on the ground before their thrown-down penny farthings, as the high-wheel bikes of the day were known. One of the riders looked off sideways, as if ruminating on an entrancing vision (he was looking in the exact southerly direction of present day Goodnight Fatty), the sensational cookie and soft serve mainstay in the brick courtyard across the street.

The 1885 ladies lost much of their party after the official photo was taken; the remaining riders continuing on to an inn in Manchester. We didn’t get quite as far, ending a 20-mile day at the Wylie Inn in the city of Beverly. The inn (owned and operated by Endicott College) is on the grounds of a historic summer estate and is one of several magnificent Gold Coast homes dotting headlands and secluded waterfronts.

We happened to meet the owners of one of the heralded estates the next day. We were admiring a perfectly sculpted Kettle Cove bay in Gloucester, about six miles northeast of the Wylie Inn, when an older couple emerged from a hidden overgrown trail onto the shoreline street. “This is Black Beach,” offered the man, practically dressed in high wading boots, shell jacket and heavy briar-repelling gloves. “The other one is White, but we don’t call them that, we call them, Pebbly and Sandy.”

My father, Oliver Balf, was one of the numerous New York City artists who came to Cape Ann in the 1940s. Like many others he came for the summers and stayed for good. I am pretty sure as a young man his eye was drawn to the same en plein-air backdrops we saw throughout the weekend: the working fishing boats chugging about pocket harbors, low banks of starchy offshore clouds against a wide, cold-water blue sky.

On the second day, we cycled the long route between Beverly Farms and Gloucester, detouring off Route 127 onto Ocean Street and Shore Road, each stunning spur routes to ocean views. We came across a sign, etched in granite, that read, WOE TIDES and a weatherworn wooden arrow above a stone for “Old Salem Path.” On one attempt to take a shortcut back to the main road, we bypassed Thunderbolt Hill, a steeply curving, granite-lined drive near Singing Beach in Manchester where James Fields, the founder of The Atlantic Monthly, once entertained Henry Wadsworth Longfellow, Nathaniel Hawthorne and Ralph Waldo Emerson.

Touring with a hand trike, two big wheels behind me and a third centered in front, was surprisingly great. I was sitting, of course, able to relax and leisurely take in the passing countryside. But I was thrillingly entertained on downhills, leaning like a slalom skier to carve corners at speed. The pedal power from my upper body was steady and dependable, and as the tour continued, though I knew I looked different, I didn’t feel different. Trikes and e-bikes help level the playing field. More inclusive tours, and a greater variety of them, are likely to follow. But it was also good to know you can set off with old cycling friends, one of whom saw fit to ride all weekend in a period tweed vest, tie and collared shirt.

Minna Caroline Smith had initially planned for their trip to end in Magnolia, but a deepening craving for Gloucester clams brought her another four miles to a hotel near Pavilion Beach. We figured the trip would end in downtown Gloucester, too, but after a perfect fried fish and chowder lunch at the Causeway Restaurant, a noontime local favorite, we went farther, 12 miles in all, keen to round Cape Ann and thoroughly use up the day.

Todd Balf is the author of several nonfiction books and most recently, a memoir about his disability journey called Complications.

THE WORLD IS REOPENING. LET’S GO, SAFELY. Follow New York Times Travel on Instagram, Twitter and Facebook. And sign up for our Travel Dispatch newsletter: Each week you’ll receive tips on traveling smarter, stories on hot destinations and access to photos from all over the world.

Categories
Health

Winter flu season could possibly be large, specialists warn

Medics in a pneumonia ward in the Philippines.

Ezra Acayan | Getty Images News | Getty Images

LONDON – Mass vaccination campaigns are being carried out in the developed world, but many countries are still grappling with spikes in coronavirus infections and new strains, such as the highly infectious Delta variant.

And now health experts are warning the public that a very difficult flu season could also be ahead.

“There is great uncertainty about the 2021-2022 flu season,” epidemiologist Lauren Ancel Meyers, director of the University of Texas’ Covid-19 modeling consortium, told CNBC.

“As with Covid, when someone recovers from a seasonal flu infection, they retain a certain level of immunity, at least for a short time, which protects them from future infections. Since our covid containment measures prevented the flu from spreading over the past year, there aren’t “a whole lot of people who recently got infected,” she said.

“So we can enter the flu season with a higher vulnerability than usual, which could exacerbate the risks,” she added.

Meyers believes that whether the flu season is more severe this year or not could depend on how the virus evolves as well as decisions on a personal level.

“As we have learned from the past 18 months of the Covid-19 pandemic, the choices we make as individuals and communities can have a huge impact on the fate of an outbreak. We can and should do our part to prevent a disastrous flu season “by getting vaccinated early this fall and taking sensible precautions if and when the virus spreads widespread,” she said.

“Our experience with Covid can lead to behavior changes that work in our favor. People may be more willing to take flu vaccines and wear face masks or take other precautions to prevent transmission during high season.”

Get ready

The alarm about a potentially bad winter flu season was raised in June by Professor Chris Whitty, England’s chief medical officer.

“Either we will have a very significant increase in Covid, people will minimize their contacts and we will have less respiratory virus, or people will go back to a more normal life, there will be some Covids, but beyond that we will go back to” one Flu surge, an RSV surge (Respiratory Syncytial Virus, a common respiratory virus that usually causes mild, cold-like symptoms) in children, and so on. “

“I think we have to be aware and adjust to the fact that the coming winter can be a difficult one,” he said.

Flu numbers from the US and England show that influenza cases have decreased during the pandemic, largely due to the social distancing measures in place, which are helping to stop the transmission. During the 2019-2020 flu season, the U.S. Centers for Disease Control and Prevention predicted that influenza and pneumonia (a life-threatening flu complication that often affects the elderly) will be linked to 38 million illnesses, 405,000 hospitalizations, and 22,000 deaths . The CDC stressed that the numbers are only estimates.

But regarding the 2020-2021 season, the CDC told CNBC that due to the low level of influenza activity last winter, there wasn’t enough flu or flu-related hospitalizations in the United States to use a model to estimate US flu exposure for 2020- 2021. “

“We can say that the low level of flu activity during the 2020-2021 season has contributed to dramatically fewer flu cases, hospital admissions and deaths compared to previous flu seasons,” Lynnette Brammer, team leader of the CDC’s domestic influenza surveillance team, told CNBC on Tuesday.

“For example, in the three seasons leading up to the pandemic, the peak percentage of respiratory viruses that tested positive for flu every week was between 26.2% and 30.3%. However, last season, the percentage of respiratory viruses that tested positive for flu remained lower than “0.4% during each week of a typical flu season.”

In England and Wales for comparison, deaths from influenza and pneumonia in 2018 were 29,516 in England and Wales and 26,398 in 2019, according to the Office for National Statistics. Similar to the US, there was a sharp drop in 2020 with 15,437 deaths related to (and due to) influenza and pneumonia.

Whitty’s comments were taken up by Neil Ferguson, an epidemiologist at Imperial College London who has also advised the UK government on its Covid strategy.

He agreed that “seasonal influenza is likely to be a major problem” when it comes fall and winter.

“All the measures we have taken against Covid around the world have brought the flu to a very low level and basically no one got the flu in the last year, so the immunity has dropped a little … I think we have to go to one Be prepared for potentially quite significant flu. “Epidemic later this year,” he told the BBC show “Today” in late June.

What’s coming?

It’s hard to predict what will happen during the 2021-22 flu season, said CDC’s Brammer, but the CDC is “preparing for flu virus circulation to return to pre-pandemic levels” as some respiratory viruses are already circulating again Pre-pandemic stages.

“We think something similar could happen with the flu, especially as community efforts to contain it continue to relax. , which also circulated at a low level in the 2020-2021 season, is increasing. This increase is outside of the typical season, “she noted.

Several factors “could make the upcoming flu season more severe than usual,” Brammer said:

  • Antibodies that protect against flu decrease over time.
  • Immunity to a flu shot decreases faster than immunity to a natural infection.
  • Since there was little flu virus activity last season, the immunity of adults (especially those who were not vaccinated last season) now depends on exposure to virus two or more seasons earlier.
  • Young children also have lower immunity to the flu. They may not have previously been vaccinated or have had natural exposure. If children return to school and potentially become infected, there could be a higher number of children who have not previously been exposed to the flu and therefore have lower immunity, which could exacerbate illness.

“We know that the flu shot is still the best way to protect yourself and your loved ones from the flu and its potentially serious complications,” added Brammer.

Categories
Health

Do We Actually Must Take 10,000 Steps a Day for Our Well being?

Another, more extensive study from last year with almost 5,000 middle-aged men and women of different ethnicities also found that 10,000 steps per day is not a prerequisite for a long life. In this study, people who walked about 8,000 steps a day were half as likely to die from heart disease or other cause as those who walked 4,000 steps a day. The statistical benefit of additional steps was small, which means it didn’t hurt people to collect more steps up to the 10,000 step mark and beyond every day. But even the additional steps did not offer any additional protection against dying in youth.

Realistically, few of us reach that 10,000-step goal anyway. Recent estimates suggest that most adults in America, Canada, and other western countries walk an average of less than 5,000 steps a day.

And when we hit the 10,000-step goal, our performance tends to be short-lived. A famous study in Ghent, Belgium, made pedometers available to local residents in 2005 and encouraged them to take at least 10,000 steps a day for a year. Of the 660 men and women who completed the study, about 8 percent ended up meeting the daily goal of 10,000 steps. But in a follow-up study four years later, hardly anyone went that far. Most had returned to their baseline and were now taking about the same number of steps as at the start of the study.

The good news is that increasing our current step count by as much as a few thousand extra steps on most days might be a reasonable, sufficient – and achievable – goal, said Dr. Lee. The formal physical activity guidelines issued by the United States and other governments use time, not steps, as a recommendation and suggest that we exercise at least 150 minutes a week, or half an hour most days, in addition to any exercise as part of our normal, daily life. Translated into step numbers, said Dr. Lee, that total would add up to a little over 16,000 steps a week for most people, or about 2,000 to 3,000 steps most days. (Two thousand steps is about a mile.) If we currently, like many people, take about 5,000 steps a day in everyday activities such as shopping and doing housework, with the additional 2,000 to 3,000 steps we would total between 7,000 and 8,000 steps most days, what according to Dr. Lee seems to be the sweet spot for step count.

Categories
Health

Biden’s new Covid vaccine push focuses on employees, college students, delta variant

President Joe Biden on Tuesday once again pushed for all eligible Americans to get Covid vaccinations, stressing the importance of being protected against the highly transmissible delta variant.

Despite the U.S. being on track to hit 160 million people fully vaccinated in the coming days, Biden said, millions remain unvaccinated against Covid, “and because of that, their communities are at risk, their friends are at risk, the people they care about are at risk.”

“This is an even bigger concern because of the delta variant,” the president said.

“It seems to me, this should cause everybody to think twice,” Biden said. But “the good news is that our vaccinations are highly effective,” including against the delta variant, he added.

Biden detailed his administration’s latest push to increase vaccination rates two days after failing to reach his Covid vaccination goal for the Fourth of July.

His team is now training its focus on boosting vaccination availability in places such as doctor’s offices and work settings. They are also ramping up efforts to get vaccines to pediatricians and other child health-care providers, Biden said, with the goal of getting more adolescents ages 12 to 18 inoculated before they head back to school in the fall.

The team also aims to expand mobile clinic efforts and will work to refine door-to-door outreach efforts to get information about vaccines to Americans who have yet to get their shots, the president said.

“Our focus now is on doubling down on our efforts” to get more people vaccinated, White House press secretary Jen Psaki said at a briefing earlier Tuesday afternoon.

“There’s still more work to be done,” Psaki said, before noting that “the vast, vast majority of people are safe from the virus” once they are vaccinated.

“If you are not vaccinated, you are not. That is also a message that we’re going to continue to clearly communicate,” she said.

Biden in his speech at the White House highlighted that nearly 160 million people in the U.S. will be fully vaccinated by the end of this week.

There are currently 157 million people in the U.S. who are fully vaccinated, which is less than half of the total population, according to Centers for Disease Control and Prevention data. Among people in the U.S. ages 18 and up, the CDC’s percentage for those fully vaccinated rises to 58.2%, and it stands at 78.7% among those ages 65 or older, who face the greatest risk from Covid.

Biden in May had set the goal of having 70% of American adults vaccinated with at least one shot by Independence Day. On the holiday itself, roughly 67% of U.S. adults had received at least one dose, according to the CDC.

“The bottom line is, the virus is on the run and America’s coming back, coming back together,” Biden said. It’s “one of the greatest achievements in American history,” he said, “but our fight against the virus is not over.”

The delta variant, which was first observed in India, has now spread to at least 96 countries, including the U.S., according to the World Health Organization.

The variant, which the WHO says is about 55% more transmissible than another strain of the virus found in the United Kingdom, has threatened to derail some countries’ plans to lift social-distancing restrictions. About 25% of all new reported U.S. Covid cases are of the delta variant, according to the CDC, which predicts it will become the dominant variant.

White House chief medical advisor Dr. Anthony Fauci last month called delta the “greatest threat” to the nation’s fight against the pandemic.

Dr. Scott Gottlieb, the former commissioner of the Food and Drug Administration, told CNBC last week that while the delta variant may cause an increase in cases, he doesn’t expect a massive surge in infections on the scale of those seen at earlier points in the pandemic.

“I don’t think it’s going to be a raging epidemic across the country like we saw last winter. I think that there’s going to be pockets of spread, and prevalence overall is going to pick up,” Gottlieb said on “Squawk Box.” 

The White House is deploying Covid-19 response teams across the nation focused on combatting the variant. The teams, composed of officials from the CDC and other federal agencies, will work with communities at higher risk of experiencing outbreaks.

There are still about 1,000 counties in the U.S. that have vaccination coverage of less than 30%, CDC Director Dr. Rochelle Walensky told reporters last week.

The counties are mostly located in the Southeast and Midwest and the agency is already seeing increasing rates of disease in these places due to further spread of the delta variant, she said.

— CNBC’s Ylan Mui contributed to this report.

Disclosure: Scott Gottlieb is a CNBC contributor and is a member of the boards of Pfizer, genetic testing start-up Tempus, health-care tech company Aetion Inc. and biotech company Illumina. He also serves as co-chair of Norwegian Cruise Line Holdings’ and Royal Caribbean’s “Healthy Sail Panel.”