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These Sisters With Sickle Cell Had Devastating — and Preventable — Strokes

Dr. Julie Kanter, a hematologist at the University of Alabama at Birmingham and director of the university’s adult sickle cell clinic, reviewed the medical records of 5,347 children in 28 medical centers, large and small, including academic and minor medical centers. Depending on the center, only 30 to 75 percent of the children had received the recommended screening. On average, only 48.4 percent received the ultrasound. The prices were independent of the size of the medical center or the academic affiliation.

“The rate is terrible, actually worse than we thought,” said Dr. Canter.

The researchers interviewed parents and caregivers and found that some doctors did not inform parents about the checkups. Some parents, even when told, did not understand its critical meaning. (Dr. Kanter would like to rename the Stroke Screen test to Transcranial Doppler Ultrasound to make its purpose clearer.) Some medical centers with special sickle cell clinics have not been able to consistently track families who missed appointments.

There were also logistical obstacles. Sometimes medical centers that offered the test were far from the homes of children with the disease. Some parents struggled to take time off work to take their children to test. And the centers that ran the tests were sometimes not part of a family’s insurance network.

Ultrasound screens aren’t the only medical care that children with sickle cells receive inconsistently. Hydroxyurea, a low-cost generic drug that has been around since the 1980s, may reduce the risk of irreversible damage to organs and the brain. But unfortunately it is not being used enough. The National Institutes of Health guidelines published in 2014 state that all children and adolescents should attend, as well as adults with three or more pain crises per year or other serious complications.

A recent survey of 2,200 sickle cell patients in eight locations, funded by the National Institutes of Health, found that only 48 percent of patients were taking hydroxyurea regularly. Interviews with doctors who had not prescribed the drug revealed that many were unfamiliar with the drug, while others feared that hydroxyurea, which is also a cancer treatment in much higher doses, could cause cancer, although at the lower level of sickle cell disease it could cause cancer. Dose is not the case.

Another recent study of Medicaid patients in North Carolina found that only 32 percent of the 2,790 Medicaid patients with sickle cells even had a prescription for hydroxyurea, and only 31 percent of those patients were taking the drug regularly.

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U.S. Covid instances hit lowest stage since June 2020

People crowd outdoor dining at a restaurant as coronavirus disease (COVID-19) restrictions are eased in Ann Arbor, Michigan, U.S., April 4, 2021.

Emily Elconin | Reuters

Covid cases in the U.S. have dropped to their lowest level since June as the nation prepares for Memorial Day weekend, the unofficial start of the summer travel season.

The seven-day average of new infections is about 26,000 as of Sunday, according to data compiled by Johns Hopkins University. That is the lowest number since June of last year.

The decline of cases is a hopeful sign, especially as many Americans plan to travel, spend days at the beach and gather with friends and family over the summer. It is the latest in a series of milestones that signal a reopening economy and a gradual return to a more typical way of life.

Cases of Covid have fallen as more people across the country get vaccinated. About 49% of the U.S. population has received at least one shot of a vaccine, and 39% of the population is fully vaccinated as of Saturday, according to data from the Centers for Disease Control and Prevention. Of those age 18 and older, 61% are at least partially vaccinated, according to the CDC.

Retailers, including Target, Walmart and Macy’s said this week that consumers’ purchases reflect that people are becoming more mobile and social again. They said a growing number of customers have returned to stores to browse or bought merchandise they previously skipped over, from new outfits to from teeth whitener.

The CDC’s new public health recommendations also ushered in change earlier this month for Americans who had been wearing masks for months. The federal agency said people who are fully vaccinated do not need to cover their face in most indoor and outdoor settings. That prompted many retailers and some states, including New York, to drop mask requirements for those vaccinated and align with the new policy.

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CDC is Investigating Coronary heart Issues in a Few Younger Covid-19 Vaccine Recipients

The Centers for Disease Control and Prevention is investigating reports that a very small number of teenagers and young adults vaccinated against the coronavirus may have had heart problems, according to the agency’s vaccine safety group.

The group’s statement was sparse in detail, saying only that there were “relatively few” cases and that they may be completely independent of vaccination. The condition known as myocarditis is inflammation of the heart muscle and can occur after certain infections.

The CDC’s review of the reports is in the early stages, and the agency has yet to determine if there is evidence that the vaccines caused the heart disease. The agency has published guidelines on its website urging doctors and clinicians to look out for unusual heart symptoms in young people who have just received their scans.

“It may just be a coincidence that some people develop myocarditis after vaccination,” said Dr. Celine Gounder, an infectious disease specialist at Bellevue Hospital Center in New York. “It’s more likely that something like this happened by accident because so many people are being vaccinated.”

The cases appear to have occurred predominantly in adolescents and young adults about four days after the second dose of one of the mRNA vaccines manufactured by Moderna and Pfizer-BioNTech. And the cases were more common in men than women.

“Most of the cases appear to be mild and the case follow-up is ongoing,” the vaccine safety group said. The CDC strongly recommends Covid vaccines for Americans 12 and older.

“We look forward to more data on these cases so that we can better understand whether they are vaccine-related or if they are accidental,” said Dr. Yvonne Maldonado, Chair of the Infectious Diseases Committee of the American Academy of Pediatrics. “In the meantime, it is important for pediatricians and other clinicians to report any health concerns that arise after vaccination.”

Experts pointed out that the potentially rare side effect of myocarditis pale in comparison to the potential risks of Covid, including the persistent syndrome called “Long Covid”. Acute Covid itself can cause myocarditis.

As of May 13, the coronavirus had infected more than 3.9 million children and sent more than 16,000 to hospitals, more than were hospitalized for flu in an average year. This is evident from data collected by the AAP. Approximately 300 children have died from Covid-19 in the United States, making it one of the top 10 causes of child death since the pandemic began.

“And that is related to all mitigation measures that have been taken,” said Dr. Jeremy Faust, emergency doctor at Brigham and Women’s Hospital in Boston.

Updated

May 23, 2021 at 12:06 p.m. ET

In the general population, about 10 to 20 in 100,000 people develop myocarditis each year, with symptoms ranging from fatigue and chest pain to arrhythmias and cardiac arrest. Many others are likely to have mild symptoms and, according to researchers, never get diagnosed.

Currently, the number of post-vaccination reported cases of myocarditis does not appear to be any higher than is common among young people, according to the CDC. However, the agency’s vaccine safety group members felt that information on reports of myocarditis should be provided to providers, ”the report said.

The agency did not disclose the age of the affected patients. The Pfizer BioNTech vaccine has been approved for ages 16 and over since December. Earlier this month, the Food and Drug Administration extended this approval to children ages 12-15.

On May 14, the CDC alerted doctors to the possible link between myocarditis and vaccines. On May 17, the task force reviewed the Department of Defense’s data on myocarditis, reports submitted to the Vaccine Adverse Event Reporting System, and others.

State health departments in Washington, Oregon, and California have alerted emergency providers and cardiologists to the potential problem, and a report of seven cases has been submitted to Pediatrics magazine for review.

Dr. Liam Yore, former president of the Washington State Chapter of the American College of Emergency Physicians, said in an interview that he recently saw a teenager with myocarditis after the vaccination.

The patient was treated for a slight inflammation of the lining of the heart and then sent home. But the teenager later returned to care, with a decrease in cardiac output. Still, Dr. Yore, he’s seen worse results in teens with Covid, including a 9-year-old who arrived at the hospital after suffering cardiac arrest last winter.

“The relative risk is very favorable to receiving the vaccine, especially considering how many doses of the vaccine have been given,” he said.

More than 161 million people in the United States have received at least one dose of a coronavirus vaccine. About 4.5 million of them were between 12 and 18 years old.

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Olympic organizers ought to mandate Covid vaccines for athletes and followers at Tokyo Video games

Arthur L. Caplan is the founding head of the Division of Medical Ethics at NYU School of Medicine in New York City and Lee H. Igel is a clinical professor in the NYU Tisch Institute for Global Sport.

Pfizer and BioNTech are donating doses of their Covid-19 vaccine to athletes and delegations heading for the Tokyo Olympic and Paralympic Games this July.

With so many people around the world still waiting for a jab and the pandemic not letting up in more than a few regions, should Olympians be jumping the vaccine line? Yes — and they ought to get a running start with a tough, mandatory program as soon as possible.

The offer to donate the doses came up during a recent conversation that Pfizer CEO Albert Bourla was having with Japanese Prime Minister Suga Yoshihide. That led that Japanese government into discussing the opportunity in a meeting with the International Olympic Committee. The IOC then worked with Pfizer and BioNTech on a memorandum of understanding. It will have National Olympic Committees across the globe — 206 in all — coordinate with their local governments to administer vaccinations to athletes and delegates who are eligible for them.  Given the two-shot schedule, they need to start now.

Japan is planning to host a total of about 15,000 athletes at the Olympic and Paralympic Games. Several thousand more people who will travel as part of the delegations will join them, even as numbers are limited due to pandemic regulations. Some of those heading to Tokyo will have been vaccinated already. Many, however, will have not yet had access to a vaccine. Others will have refused to take it because they are hesitant or don’t believe in its safety.

How many thousands of doses will end up being provided to the Olympic movement remains to be seen. Pfizer, BioNTech, and the IOC have said that those doses will be in addition to amounts already set to be supplied to different countries. But many people are wondering, if the pharmaceutical firms can produce extra vaccines for Olympic allotment, shouldn’t those doses go to people who are at greater risk for severe illness or death if they contract Covid?  

 That is a fair question, but it misses an important reality: the Games are on pace to take place as scheduled. This despite the fact that Tokyo and surrounding prefectures are under a government-mandated state of emergency because of high Covid infection rates.  But Japan is too far down the road to cancel the Games, which were already postponed once.

At a cost of more than $26 billion, the coming version of the Tokyo Olympics is the most expensive Summer Games ever. True, a majority of the Japanese public — about 60%, according to Yomiuri Shimbun polling, and up to 80%, according to polls cited by the Associated Press — opposes holding the Games. Doctors and nurses are protesting, and employees in at least one hospital posted signs in windows pleading for the Games to be canceled, because of overcapacity. But the money invested, not public health concerns, are now driving events. Unless a shock catastrophic event takes place, the Games will go on.

The Olympic festival, its athletes and delegates, and registered media and broadcast teams will be flowing into and around into Japan in late July. Even if Tokyo reduces the infection rate to a more manageable level in time for opening ceremonies, allowing thousands of unvaccinated people to enter and move about is irresponsible. It risks real strain on health care and public safety systems in the Olympic venues and throughout the city, in a nation that has one of the highest rates of vaccine hesitancy and lowest rates of vaccine confidence in the world.

The IOC will not be requiring athletes and delegates to have received a vaccine in order to participate in the Games. That is flat out wrong, given the danger of spreading new strains around the world when participants return home from the Games. Athletes, coaches, delegates, media, and suppliers, should be required to take the two-shot vaccine doses being offered. There is a need to keep as many people as safe as possible, and vaccines can help greatly in that regard.

Authentication by a physician that a person has been vaccinated a minimum of one month before the Games should be part of the protocol. So should frequent testing just prior to departure, on arrival, and throughout the Games, as should maintaining a tight bubble at all Olympic sites, venues and lodgings.

Olympic athletes and their support staff can be seen as “essential workers,” in that their participation in the Games can be seen by the world as a sign of good things happening in a bleak time. As IOC President Thomas Bach said, they can “lead by example … and send a powerful message that vaccination is not only about personal health, but also about solidarity and consideration of the wellbeing of others in their communities.”

Arguing about canceling the Games is over. They are going to happen. The organizers and athletes have about a month from now to insure their safety, the safety of Tokyo, and the safety of the world. Vaccination, testing, and quarantine are the key tools to aligning public health with the world’s desire for a bit of relief from a deadly plague. Let’s hope the IOC, local organizing committee and Japan get this right.

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The Return of Dwell Theater

As vaccinations and an announcement from the Centers for Disease Control and Prevention have seen many use less masks, live performances are slowly returning. While Broadway won’t officially return until September, Radio City Music Hall will reopen on June 19 to host the final night of the Tribeca Film Festival (guests must be vaccinated). Across New York, venues like Park Avenue Armory and St. Ann’s Warehouse are already experimenting with socially distant open-air performances in an attempt to cautiously revive live theater.

Last year the summer stick theater festivals were canceled across the board, but this season they’re coming back, albeit with some adjustments. The Massachusetts Williamstown Theater Festival will have all of its shows outdoors, while the Utah Shakespeare Festival requires masks and offers concessions only outdoors. While the summer art season won’t look quite like 2019, theater lovers are on the verge of a welcome awakening.

“Ring of Fire” at the Rocky Mountain Repertory Theater

This Grand Lake, Colorado theater is hosting its 2021 indoor season and opens with Johnny Cash’s jukebox musical “Ring of Fire,” which debuted on Broadway in 2006. The musical with cash classics like “I. Walk the Line and Folsom Prison Blues begin a season that lasts until September and includes Joseph and the Amazing Technicolor Dreamcoat and Little Shop of Horrors. Starts June 4, $ 45; rockymountainrep.com.

“Out on the Main: Nine Solo Pieces by Black Dramatists” at the Williamstown Theater Festival
This prestigious Berkshires festival has shaped many future stars and premiered Broadway shows such as Bradley Cooper’s headlined production of The Elephant Man. When it returns for a personal season, the debut show will be the world premiere of “Outside on Main,” directed by Wardell Julius Clark, Awoye Timpo and Candis C. Jones and curated by playwright Robert O ‘. Hara. Each performance consists of three 30-minute pieces, all written by black writers for color performers. The season starts on July 6th. The festival tickets are priced at $ 100 each and will go on sale on June 22nd. wtfestival.org/shows-events/.

“Pericles” at the Utah Shakespeare Festival

This Shakespeare festival, which is part of Southern Utah University in Cedar City, will open its 60th anniversary season “Pericles.” This season, which runs from June to October, also features Shakespeare classics such as Richard III and The Comedy of Mistakes, as well as some off-topic themes such as Pirates of Penzance and Ragtime. The season kicks off June 21, with tickets starting at $ 9. bard.org.

“The Magic Flute” at the Glimmerglass Festival

This Cooperstown, NY opera institution is moving shows from their traditional theater to a redesigned outdoor area. The season kicks off with a new version of “The Magic Flute,” but what seems to be the jewel of the festival is “The Passion of Mary Cardwell Dawson,” a world premiere starring Denyce Graves about the life of the founder of the National Negro Opera Company in Dawson Year 1941. The season kicks off July 15, with tickets starting at $ 80 for a socially detached seat that can seat up to four people. glimmerglass.org.

“A Thousand Ways (Part Two): An Encounter” in the public theater

In December, the New York Public Theater made its debut with the socially distant piece “A Thousand Ways (Part 1): An Encounter”, which connected the audience to one another via a telephone line. “Part One” was created by Abigail Browde and Michael Silverstone of the Brooklyn Theater Company 600 Highwaymen and was the first in a trilogy. Now personal participants can experience “A Thousand Ways (Part Two)”. In this experimental work the participants are brought together and follow the instructions to create a private work. June 8th-Aug. 15, $ 15; publictheater.org.

“Send what up when it goes down” from BAM

The monumental work by playwright Aleshea Harris, which debuted on Broadway in 2018, testifies to the epidemic of the black death from racial violence. With a permeable boundary between audience and actors, the play enables an emotional experience of discussion and healing. The production is presented by BAM and Playwrights Horizons in association with the Movement Theater Company. Check the website for the June opening date; bam.org.

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College students protest necessary Covid vaccinations at faculties

Across the country, a growing number of colleges and universities have said vaccinations will be mandatory for the fall of 2021.

Now, hundreds of thousands of students will be required to get the Covid-19 vaccine, whether they want to or not.

For the most part, students will get vaccinated if it means campus life can return to a pre-pandemic “normal” by September. But not everyone feels that way.

Roughly 88% of college students plan to get the coronavirus vaccine and nearly 3 in 4 students believe vaccinations should be mandatory, according to a recent survey of more than 1,000 college students by College Finance.

More from Personal Finance:
Hundreds of colleges say Covid vaccines will be mandatory
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However, Jackie Gale, a rising sophomore at the University of Alabama-Birmingham, is not one of them.

For religious reasons, Gale has never been vaccinated. The 19-year-old attended Alabama public schools and received a religious exemption from the Alabama state health department. 

The University of Alabama-Birmingham also exempted Gale from its vaccine requirements during the 2020-2021 school year but won’t apply the same exemption for the upcoming year, according to her lawyer.

“If they decide to give her a religious exemption, that will be the end of it,” said Hiram Sasser, executive general counsel for First Liberty Institute, based outside of Dallas. “If not, we will have to communicate with them through a lawsuit.”

“In compliance with applicable law, we do provide religious exemptions for immunization requirements,” a spokeswoman for the school said. The university does require students provide proof of immunization against certain diseases, although there is currently no Covid vaccine mandate for the fall semester.

For those enrolled in school, there are many vaccination requirements already in place to prevent the spread of diseases such as polio, diphtheria, tetanus and whooping cough.

All 50 states have at least some vaccine mandates for students attending public schools and even those attending private schools. In every case, there are medical exemptions and, in some instances, there are religious or philosophical exemptions, as well.

Rutgers University, in New Brunswick, New Jersey, said it will now mandate Covid vaccinations for its 71,000 students.

“Adding Covid-19 vaccination to our student immunization requirements will help provide a safer and more robust college experience for our students,” Rutgers President Jonathan Holloway said in a statement.

“We are committed to creating a safe campus environment in fall 2021, and to support the health and safety for all members of the Rutgers community, the university has updated existing immunization requirements for students to include the Covid-19 vaccine,” a spokesman for the university added.

Sara Razi, a 21-year-old junior at Rutgers, is challenging that requirement.

I’m not anti-vax, I’m anti-mandate,” she said. “My education should not be restricted based on my personal decision to receive the Covid-19 vaccination.

Vaccinations are a personal and a private choice and students should have the right to choose whether or not they want to take a vaccine that is experimental.

Sara Razi

student at Rutgers University

“Vaccinations are a personal and a private choice and students should have the right to choose whether or not they want to take a vaccine that is experimental,” Razi added. “Therefore, a public institution like Rutgers should not have the right to dictate a student’s personal decisions.”

Razi, who has received other immunizations in the past, said she hasn’t decided yet whether she will get a Covid shot. In the meantime, she will be participating in a rally on campus, protesting the school’s mandate.

The political science major from Freehold, New Jersey, is also a member of Young Americans for Liberty, a libertarian group active on nearly 400 college and university campuses, including Rutgers.

Rutgers has said it will grant exemptions, for medical or religious reasons, although requests will be evaluated on a case-by-case basis. 

“There are a lot of people who are hesitant, that doesn’t mean they don’t want to get the vaccinated,” said Brittany Kmush, assistant professor of public health at Syracuse University.

“This pandemic has become so politicized and it’s really unfortunate that health outcomes have been tied to political parties,” she added.

Colleges need to offer information and education so families can have their concerns addressed. “Just the opportunity to listen to people and give them a place to voice their concerns,” Kmush said, “that would be helpful.”

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Sure, Pot Is Authorized. However It’s Additionally in Brief Provide in NY and NJ

New York and New Jersey are all about growing legal weeds.

In Orange County, NY, plans to build a large cannabis cultivation and processing facility on the site of a defunct state prison.

About 25 miles south, across the border in New Jersey, an industrial complex that once belonged to pharmaceutical giant Merck is being converted into an even larger marijuana cultivation center.

In Winslow, New Jersey, about 30 miles outside of Philadelphia, a new indoor growing complex was just celebrating its first harvest.

The advent of legalized adult marijuana in New York and New Jersey is an entrepreneur’s dream. Some estimate that the potential market in the densely populated region will grow to over $ 6 billion in five years.

However, the rush to get plants in the ground at factory-style manufacturing facilities underscores another fundamental reality in the New York metropolitan area: there is already a shortage of legal marijuana.

In New Jersey’s decade-old medical marijuana market, the supply of dried cannabis flower, the strongest part of a female plant, has rarely met demand, according to industry lobbyists and state officials. At the beginning of the pandemic, when demand exploded, it became even scarcer, patients and business owners said.

The supply gap has narrowed as the nationwide supply of flowers and products made from a plant’s extracted oils more than doubled between last March and this spring. Still, patients and owners say pharmacies often sell popular varieties.

“There are very few stocks,” said Shaya Brodchandel, executive director of the Harmony Foundation in Secaucus, New Jersey and president of the New Jersey Cannabis Trade Association. “Almost no wholesale business. As we harvest, we bring it straight to retail. “

Harmony bought the former Merck property in Lafayette, New Jersey late last year and is awaiting approval to start construction, Brodchandel said.

Because marijuana is illegal under federal law and cannot be shipped across state lines, marijuana products sold in each state must also be grown and manufactured there.

The Bundesbankengesetz makes it nearly impossible for cannabis companies to get conventional funding, creating a high hurdle for small startups and a built-in advantage for multi-state and international companies with deep pockets.

Oregon, which issued thousands of grow licenses after legalizing marijuana six years ago, has an abundance of cannabis. But many of the other 16 states where non-medical marijuana is now legal have faced similar supply shortages as New York and New Jersey as production slowly increased to meet demand.

“Flowers are always short in a new market,” said Greg Rochlin, general manager of the Northeast Division of TerrAscend, a cannabis company operating in Canada and the United States that opened its 17th medical marijuana dispensary in New Jersey this month.

In New York, where the medical marijuana program is smaller and more restrictive than New Jersey’s, the product menu includes oils, tinctures, and finely ground flowers suitable for vaping. The sale of loose marijuana buds for smoking is banned, however, and only 150,000 of the state’s 13.5 million adults who are 21 years of age or older are registered as patients.

When demand was modest, there was little incentive to increase supply. Until now.

Adult marijuana sales could begin in New Jersey within a year and New York by early 2023, industry experts predict.

“I’d be a fool if I didn’t make the product,” said Ben Kovler, founder and general manager of Green Thumb Industries, a cannabis company with offices in both states.

“There isn’t much inventory,” he said at a moment when a “tidal wave” of demand was looming on the horizon. “It is unlikely that there will be enough supplies,” said Kovler.

His company, he said, is awaiting final New York State approval to begin construction on the site of the former Warwick, NY men’s Mid-Orange Correctional Facility, which closed in 2011.

The competitor Citiva is also building a new production center there. A cannabis test laboratory and a CBD extraction facility, urbanXtracts, are already in place.

“We call it a cannabis cluster,” said Michael Sweeton, Warwick’s city overseer.

“It’s the definition of irony,” he added of the reinvented role of a correctional facility that boomed during the war on drugs, imprisoning 750 men at the same time and providing 450 jobs.

New York officials said the state’s hemp farmers will play an important role in efforts to produce enough cannabis to satisfy what is set to quickly become one of the largest marijuana markets in the country.

With lower overheads and a lower carbon footprint, hemp farmers who grow cannabis for specific purposes could potentially undercut indoor plant prices for at least part of the year, authorities said. Hemp, which contains much less of the intoxicating chemical THC found in cannabis, is used to make CBD oil.

New York law also allows individuals to grow up to six marijuana plants for personal use. New Jersey law does not allow so-called home growth.

In the coming months, both states are expected to enact regulations to regulate the new industry. Everyone has classified legalization as a social justice imperative, spending a large portion of the expected tax revenue on color communities disproportionately harmed by inequalities in criminal justice.

Trying to balance the goal of building markets geared towards social and racial justice against the inherent dominance of multistate corporations with early stakes in the region will be vital, officials in New York and New Jersey said.

“They should have the ability to boost the market,” said Norman Birenbaum, New York’s director of cannabis programs, of the 10 medical marijuana companies that have already been licensed to operate in the state. But it shouldn’t come “at the expense of new entrants,” he said.

Jeff Brown, who heads New Jersey’s cannabis programs, said the market has room – and a critical need – for newcomers.

The current operators of the state, he said, “will not be able to supply the market for personal use.”

The granting of two dozen new drug licenses has been delayed by more than a year due to a legal challenge, and some of the 12 current operators, Brown said, have been slow to fully utilize their expandability.

This has put a limit on the amount of cannabis that can be sold to patients in a single visit. Lines to enter stores tightened by Covid-19 regulations are common.

“You can’t always find the strain that is best for your condition,” said Ken Wolski, a retired nurse who now leads the Medical Marijuana Coalition, a nonprofit advocacy group. “And that’s a very frustrating thing for patients.”

Supply chain challenges have taken on a new urgency in New Jersey, where the state’s medical marijuana dispensaries are expected to be the first places adults can legally purchase cannabis without a doctor’s approval.

First, however, pharmacies must demonstrate that they have adequate patient care and facilities that can adequately accommodate both types of customers.

The New Jersey market has grown since 2019 when Governor Philip D. Murphy, a Democrat, approved a major expansion of a medical marijuana program that failed under his predecessor, Chris Christie, a Republican.

The number of pharmacies has tripled. 500,000 plants are currently being grown across the state, up from 50,000 in 2018, Brown said.

In March, 20,000 pounds of cannabis products were available in New Jersey, up from 8,000 pounds in March, he said.

Still, the price of flowers in New Jersey fluctuates between $ 350 and $ 450 an ounce before discounts. In California, the average price of an ounce of premium marijuana was $ 260, according to priceofweed.com, a frequently quoted price list.

“Popular products are running out and prices are still higher than we’d like to see,” said Brown. “The key to all of this is more competition.”

Last month, Curaleaf, which operates a pharmacy and two grow facilities in New Jersey, lifted the half-ounce limit on flower sales after a strong yield at its new indoor grow facility in Winslow, said Patrik Jonsson, the company’s executive regional president for seven northeastern states.

Workers at a similarly sized cultivation facility in Boonton, New Jersey, operated by TerrAscend, placed hundreds of plants in coconut-coconut bundles in early 2021 to begin a four-month growing and drying process. Tiered platforms are now filled with rows of light green and purple colored plants.

TerrAscend’s new pharmacy in Maplewood, New Jersey, attracted a number of customers within hours of opening earlier this month.

Stuart Zakim, one of the first in line, spoke to a cashier – the “Budtender” – about alternatives to the product he had originally requested but was told it was out of stock.

“You no longer wait in the dark for your dealer,” said Mr. Zakim, a longtime medical marijuana patient. “You are going to a beautiful facility.”

“The supply problem,” he added, “is really the biggest problem.”

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France’s Le Maire says peace and safety in danger if African Covid restoration left behind

French Finance Minister Bruno Le Maire on Wednesday warned that peace, security and global stability are in danger if the world’s economic superpowers do not contribute to Africa’s economic recovery from the Covid-19 crisis.

African leaders met in Paris over the past two days in a summit convened by France to strike a multibillion-dollar “New Deal” to aid the continent’s economic and health revival.

The Summit on the Financing of African Economies brought together 21 heads of state from Africa and leaders of continental organizations along with European leaders and the heads of major international finance organizations. In a press conference Tuesday night, French President Emmanuel Macron said the summit had yielded “a New Deal for Africa and by Africa.”

The signatories called for an additional $650 billion of IMF Special Drawing Rights to be released to close the gap between developed and emerging economies. However, only $33 billion of this has been earmarked for African countries and European leaders have vowed to donate their own shares in order to bring the total for the continent close to $100 billion.

The IMF may also contribute some of its gold reserves and in a joint communique after the summit leaders suggested that “flexibility on debt and deficit ceilings” could be used to further alleviate the burden.

G-7 and G-20 urged to contribute

Le Maire indicated on Wednesday that the French government would be pushing for greater contributions from other major economies at the upcoming G-7 (Group of Seven) summit in the U.K. in mid-June, and would also be reaching out to the G-20.

“Developed countries have invested more than 25% of their GDP to fight against the consequences of the crisis and to engage a very strong economic recovery. In Africa, it is less than 2% of their GDP,” Le Maire told CNBC’s Steve Sedgwick, adding that this trajectory risked a great divergence in the recoveries of economies and health care systems.

Workers transport the second shipment of the Johnson & Johnson Covid-19 coronavirus vaccine upon its arrival at the O R Tambo International Airport in Johannesburg on February 27, 2021.

Kim Ludbrook | AFP | Getty Images

“This would be a very important danger not only from an economic point of view, but a real danger for security, for peace, for stability, for illegal immigration, so I really urge everybody to be aware of the current situation of the African countries and to be aware of the necessity of putting more money (into) Africa.”

He suggested that rather than just deploying grants, governments should look to invest in small and medium-sized enterprises, supporting African entrepreneurs who are “at the core of the economic recovery.”

Despite maintaining comparatively low Covid-19 infection and death rates compared to the rest of the world, sub-Saharan Africa is projected by the IMF to have experienced a 3.3% decline in economic activity in 2020, the region’s first recession in 25 years. GDP growth projections for 2021 also lag significantly behind the rest of the world’s 6% estimate.

The drop in activity is expected to cost the region $115 billion in output losses this year and could push another 40 million people into poverty, effectively wiping out five years of progress against poverty.

In Tuesday’s press conference, Macron also set a goal to vaccinate 40% of the population of Africa by the end of 2021, calling the current situation both “unfair and inefficient.”

‘Vaccine apartheid’

The summit has urged the World Health Organization, World Trade Organization and the Medicines Patent Pool to remove intellectual property patents blocking the production of certain vaccines.

IMF chief Kristalina Georgieva cautioned on Tuesday of dire global economic consequences if the vaccine rollout fails in developing countries and the health crisis continues.

South African President Cyril Ramaphosa on Wednesday told France24 that he welcomed the group’s call for major economies in the northern hemisphere to share their vaccine supplies.

“They have a huge surplus and we have no access, and that to me is vaccine apartheid and it can also be characterized as vaccine imperialism,” Ramaphosa said.

“We will never be able to defeat the pandemic, Covid-19, if we try to defeat it in the northern hemisphere only and not in the south.”

A landmark proposal to waive intellectual property rights on Covid-19 vaccines was jointly submitted to the World Trade Organization by India and South Africa in October.

Several months on, however, it continues to be stonewalled by a small number of governments. These include the U.K., Switzerland, Japan, Norway, Canada, Australia, Brazil, the EU and — until recently — the United States.

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Health

Paul J. Hanly Jr., Prime Litigator in Opioid Instances, Dies at 70

Paul J. Hanly Jr., a top litigation attorney who has been the focus of the current statewide litigation against drug companies and others in the supply chain for his role in the deadly opioid epidemic, died Saturday at his Miami Beach home. He was 70 years old.

The cause was anaplastic thyroid cancer, an extremely rare and aggressive disease, said Jayne Conroy, his longtime legal partner.

During his four decades-long career, Mr. Hanly, a class plaintiff attorney, has tried and administered numerous complex legal cases, including terrorist funding for the 9/11 2001 attacks and allegations of the sexual abuse of dozens of boys by a man, who ran an orphanage and school in Haiti.

But nothing compares to the national opioid cases pending in federal court in Cleveland on behalf of thousands of communities and tribes against manufacturers and distributors of prescription opioid pain relievers. The federal opioid litigation is considered by many to be perhaps the most complex in American legal history – even more intricate and far-reaching than the epic tobacco industry litigation.

The defendants – including everyone in the opioid manufacturing, distribution and dispensing chain – are charged with aggressively marketing pain relievers while downplaying the risk of addiction and overdose. Their actions, Hanly said, contributed to the opioid epidemic that has raged across the country for two decades, killing hundreds of thousands of people who have started abusing pain relievers like OxyContin and switched to street drugs like heroin and fentanyl.

“This was probably the most complicated set of lawsuits ever to come to court in my tenure,” said Ohio District Judge Dan A. Polster, who oversees the sprawling case, in a telephone interview on Saturday. “I was fortunate to have the best lawyers in the country on all sides, and Paul was one of them.”

“He was an excellent lawyer, an accomplished professional,” added the judge. “He fought hard. He fought fair. And that’s exactly what you want from a lawyer, from a lawyer. “He said that Mr. Hanly was leading” in helping organize and hold the plaintiffs’ side together “.

Mr. Hanly of Simmons Hanly Conroy in New York played a leading role in the litigation as one of three plaintiffs’ attorneys appointed by Judge Polster to handle important aspects of the cases, including negotiations. The others were Joe Rice of Motley Rice, South Carolina and Paul T. Farrell Jr. of Farrell Law, West Virginia.

At the same time, there are several cases of opioid occurring at the state level. Mr. Hanly had also prepared for a lawsuit against manufacturers and dealers due to go on trial next month in Suffolk County, NY

He had long been at the forefront of efforts to hold drug companies accountable. He filed one of the first major lawsuits against Purdue Pharma in 2003 for warning no more than 5,000 patients about the addictive properties of OxyContin. His clients eventually settled for $ 75 million in Purdue. It was one of the few cases where a drug company agreed to pay individual patients who accused them of gently pedaling the risk of addiction.

Mr. Hanly had taken up complex cases with a large number of plaintiffs in the past. Shortly after the 2001 terrorist attacks, he represented some of the families who had lost loved ones on the planes and in the World Trade Center. He also filed a lawsuit to stop the sale of tanzanite, a rough stone used as a cash alternative to fund terrorist activities. This lawsuit was extended to foreign governments, banks, and others who supported al-Qaeda. Parts of it are still pending.

Another major case was a landmark US $ 12 million settlement in 2013 on behalf of 24 Haitian boys who said they were sexually abused by Douglas Perlitz, who ran programs for underprivileged boys, and was subsequently sentenced to 19 years in prison . Mr Hanly said the defendants, including the Society of Jesus of New England, Fairfield University and others, did not properly supervise Mr Perliitz. Mr. Hanly filed additional charges in 2015, bringing the total number of juveniles abused to over 100 between the late 1990s and 2010.

“Paul was an attorney’s attorney,” said Ms. Conroy, his legal partner. She said he was known for his extensive preparation for the process, his creative strategies for the process, and his almost photographic memory of the contents of documents.

He was also known for moving away from the muted grays and blacks of most lawyers to brisk dresses in bright yellows, blues, and pinks. He preferred bespoke styles that were eye-catching yet sophisticated. His two-tone shoes were all handmade.

In a recently published book on the opioid industry, Empire of Pain, Patrick Radden Keefe described Mr. Hanly as “like a lawyer in a Dick Tracy cartoon” with his bold colors and tailored shirts with stiff, contrasting collars. But none of this, Mr. Keefe made clear, diminished his competitive advantage.

“Paul was a man of few words and a tremendous presence,” said David Nachman, who recently retired from the New York attorney general where he was the state’s chief counsel for the state’s opioid case and worked with Mr. Hanly on it to bring case to court in Suffolk County.

“When he walked into a room everyone noticed,” Nachman said via email. “When he spoke, everyone listened and when he smiled, you knew everything would be fine.”

Paul James Hanly Jr. was born on April 18, 1951 in Jersey City, New Jersey. His father held a variety of government posts including assistant director of Hudson County Penitentiary and hospital administrator. His mother, Catherine (Kenny) Hanly, was a housewife.

His family was notorious in New Jersey; Some members had been charged with corruption and spent time in prison. These included his maternal grandfather, John V. Kenny, a former Jersey City mayor and a powerful Democratic chief of Hudson County known as the “Pope of Jersey City” who was jailed in the 1970s after pleading guilty of tax evasion would have.

Mr. Hanly went a different way. He went to Cornell, where his roommate was Ed Marinaro, who later played professional football and later became an actor (best known for “Hill Street Blues”). Mr. Hanly, who played soccer with him, graduated with a major in philosophy in 1972 and received a sports scientist award as Cornell Varsity Football Senior, which combined the highest academic average with outstanding ability.

He earned a Masters in Philosophy from Cambridge University in 1976 and a law degree from Georgetown in 1979. He then worked as a clerk for Lawrence A. Whipple, a judge at the US District Court in New Jersey.

Mr. Hanly’s marriage to Joyce Roquemore in the mid-1980s ended in divorce. He is survived by two sons, Paul J. Hanly III and Burton J. Hanly; one daughter, Edith D. Hanly; a brother, John K. Hanly; and a sister, Margo Mullady.

He began his legal career as a national litigation and settlement advisor with Turner & Newall, a UK asbestos company, one of the world’s largest in its product liability cases. The company was bought by an American company, Federal-Mogul, in 1998. After that, it was overwhelmed with asbestos claims and filed for bankruptcy in 2001.

Mr. Hanly and Ms. Conroy spent much of their time negotiating with the plaintiffs’ attorneys. They soon switched to representing the plaintiffs themselves.

“We have come to realize over time that this is more important to us,” said Ms. Conroy, “to ensure that the victims are compensated for what happened.”

Jan Hoffman contributed to the coverage.

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Health

Every day U.S. knowledge on Might 19

A healthcare worker from the El Paso Fire Department administers the Moderna vaccine against the coronavirus disease (COVID-19) at a vaccination centre near the Santa Fe International Bridge, in El Paso, Texas, May 7, 2021.

Jose Luis Gonzalez | Reuters

Centers for Disease Control and Prevention data published Tuesday shows 60% of U.S. adults have received at least one dose of a Covid vaccine.

The milestone comes roughly six weeks ahead of July 4, the deadline for President Joe Biden’s latest vaccination goal of getting 70% of adults to receive one dose or more.

U.S. case counts fell further Tuesday, with the seven-day average of daily new cases now at about 31,200, according to data compiled by Johns Hopkins University.

U.S. share of the total population vaccinated

About 48% of the U.S. population has received one dose or more of a vaccine and 38% is fully vaccinated, according to the CDC.

Of those age 18 and older, 60% are at least partially vaccinated, and in some places that figure is even higher. In seven states — Vermont, Hawaii, Massachusetts, New Hampshire, Connecticut, Maine, and New Jersey — more than 70% of adults have received at least one dose.

U.S. vaccine shots administered

The country is reporting an average of 1.8 million vaccinations per day over the past week, federal data shows. That figure has been on a mostly downward trend from its peak level of 3.4 million daily shots on April 13.

CDC Director Dr. Rochelle Walensky said Tuesday that more than 600,000 kids ages 12 to 15 — the most-recently eligible age group — had received Covid vaccine shots in the past week.

U.S. Covid cases

The latest seven-day average of daily new Covid cases in the U.S. is 31,200, according to Hopkins data. That’s down 18% from a week prior. The country was reporting an average of more than 71,000 cases per day about a month ago.

Case counts have declined by 5% or more in 40 states over the past week.

U.S. Covid deaths

The U.S. is reporting 614 Covid deaths per day, based on a seven-day average of Hopkins data.

More than 587,000 total deaths have been reported in the U.S. since the start of the pandemic.