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E.U.’s Mass Vaccination Marketing campaign Begins, With Nursing Houses as Focus

BERLIN – From nursing homes in France to hospitals in Poland, older Europeans and the workers who care for them rolled up their sleeves on Sunday to receive coronavirus vaccination shots as part of a campaign to protect more than 450 million people across the European Union.

The vaccinations offered a rare respite as the continent grappled with one of its most precarious moments since the coronavirus pandemic began.

Despite national bans, restrictions on movement, closings of restaurants and cancellations of Christmas gatherings, the virus has haunted Europe into the dark winter months. The spread of a more contagious variant of the virus in the UK has caused such an alarm that much of continental Europe closed its borders to travelers from the country, effectively quarantining the nation as a whole.

In Germany, a nursing home in eastern Saxony-Anhalt did not wait for the planned introduction of the vaccination campaign across the European Union on Sunday and vaccinated a 101-year-old woman and dozens of other residents and employees on Saturday. Hours after the cans arrived. People were also vaccinated in Hungary and Slovakia on Saturday.

Early Sunday, dozens of minivans carrying coolers filled with dry ice to keep the doses of the Pfizer BioNTech vaccine from rising above minus 70 degrees Celsius fanned out into nursing homes across the German capital as part of the vaccination wave. The rollout comes as Europe’s largest nation is facing its deadliest phase since the pandemic began.

With nearly 1,000 deaths per day in Germany in the week before Christmas, a crematorium in the Saxon state was in operation around the clock to keep up.

“I’ve never seen it so badly,” said Eveline Müller, the director of the facility in the city of Görlitz.

More than 350,000 people in the 27 countries of the European Union have died of Covid-19 since the first death was recorded in France on February 15. For many countries the worst days have come in recent weeks. In Poland, November was the deadliest month since the end of World War II.

While doctors have learned to better care for Covid-19 patients, effective medical treatment remains difficult to achieve. So the rapid development of vaccines is being celebrated not only as a remarkable scientific achievement, but also as a hope for a world that is off its axis.

However, the joy that greeted the news of successful vaccine candidates in November was tempered when its launch in the UK and United States highlighted the challenges ahead.

Vaccination campaigns in Russia and China use products that have not passed the same regulatory hurdles as the vaccines developed by Pfizer-BioNTech and Moderna that are currently being rolled out in the West.

Mexico became the first country in Latin America to start vaccinating its population on Friday. And regulators in India are expected to approve the use of a vaccine developed by AstraZeneca and Oxford University soon.

By the New Year, the greatest vaccination effort in human history is expected to be in full swing. However, supply bottlenecks, logistical hurdles, misinformation, public skepticism, and the scale of the effort make it an uphill battle against an ever-evolving virus.

While experts said there was no evidence that any known variant would affect the effectiveness of vaccines in individuals, they said more study was needed. And the higher the infection rate, the more urgent vaccination is.

The new variant is spreading in the UK with such ferocity that there is a growing debate over whether to give more people a single dose of the Pfizer BioNTech vaccine, which is about 50 percent effective at preventing disease, rather than one fewer people taking the two doses are required for levels of protection estimated at 95 percent.

Still, the launch of the vaccine was celebrated across Europe.

“Today we turn the page in a difficult year,” wrote the President of the European Commission, Ursula von der Leyen, on Twitter. “The vaccine # COVID19 was delivered to all EU countries.”

Updated

Apr. 27, 2020 at 1:48 am ET

The Greeks call their vaccination campaign “Operation Freedom”. As in much of Europe, there is great skepticism about coronavirus vaccines, and the slogan aims to influence indecisive people.

For Italians – whose suffering served as a warning to the world at the start of the pandemic and whose current death toll is again among the worst in Europe – a 29-year-old nurse stood up to take the first shot.

“It’s the beginning of the end,” said nurse Claudia Alivernini after she was vaccinated early that morning at Spallanzani Hospital in Rome.

“We health workers believe in science, we believe in this vaccine, it is important to be vaccinated for ourselves, for those around us, for our loved ones, the community and our patients,” she said.

The Italian Prime Minister Giuseppe Conte celebrated this moment.

“Today Italy is waking up again. It’s #VaccineDay, ”he wrote on Twitter. “This date will stay with us forever.”

For some countries, the first vaccinations offer a chance of some sort of reimbursement for errors made during the first wave of the pandemic.

In the spring, when the virus entered nursing homes in France, the crisis remained in the shadows until deaths reached levels that could no longer be ignored. There was therefore a symbolic response when the residents of nursing homes were selected to receive the first vaccinations in the country.

In Spain, where more than 16,000 people died in nursing homes in the first three months of the pandemic, the vaccination campaign should also begin in a nursing home in the city of Guadalajara.

European Union member states showed solidarity by waiting for the bloc’s regulator, the European Medical Association, to approve the vaccine before embarking on coordinated national campaigns. But how these will develop in individual countries is likely to vary.

All EU Member States have national health systems so people are vaccinated for free. But just as hospitals in poorer member states like Bulgaria and Romania have been overwhelmed by the recent virus wave, networks in these countries will face challenges in distributing vaccines.

While each nation determines how their campaign will be conducted, the first phase generally focuses on those most at risk of exposure and most likely to experience serious health problems – healthcare workers and the oldest citizens.

Most Member States have announced that the vaccine will reach the general public by spring and a return to a sense of normalcy could hardly come too soon.

France was among the first nations in Europe to introduce a second lockdown in October, and while it has started lifting the restrictions, the reopening has not come as quickly as many had hoped.

Museums, theaters, and cinemas, originally scheduled to reopen on December 15, will remain closed, and there is a curfew from 8 p.m. to 6 a.m. across the country. The lights in the trees along the Champs-Élysées in Paris still twinkle every night, but no vacation shoppers or tourists are there to bask in their glory.

Chairs stacked in empty bars, restaurants and cafes are a reminder of the absence in 2020.

Nathalie and Adrien Delgado, a Parisian couple in their fifties, said they would get vaccinated as soon as possible. “It’s an act of citizenship,” said Ms. Delgado, who celebrated Christmas with the couple’s two children in Paris instead of visiting their mother. “It’s not even for me, but it’s the only way to stop the virus.”

Others weren’t so sure.

Sandra Frutuoso, a 27-year-old housekeeper who had also canceled plans to visit her family in Portugal, said she feared the disease – her husband was infected and has since recovered – but will not be vaccinated for “long”.

“You did it too quickly,” she said. “I’m concerned that the side effects could be worse for someone my age than the Covid itself.”

Germans’ willingness to get vaccinated has also decreased in recent months, and the government hopes that adoption will increase with the introduction of the vaccines.

When asked last week how long it could be before life could return to normal, Ugur Sahin, co-founder of BioNTech, warned that despite immunization, the virus would persist for the rest of the decade.

“We need a new definition of” normal, “” he told reporters, though he added that with adequate vaccinations, lockdowns could end as early as next year.

“This year we won’t have any control over the number of infections,” said Sahin, “but we have to be sure that we have enough vaccines next year to make it normal.”

Melissa Eddy reported from Berlin and Marc Santora from London. The reporting was written by Aurelien Breeden from Paris, Niki Kitsantonis from London, Elisabetta Povoledo from Rome, Raphael Minder from Madrid and Monika Pronczuk from Brussels.

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Health

Properties Divided: Vaccinated Well being Staff Chart a New Regular

Dr. Kuppalli and others have expressed some discomfort about being first to get the vaccine while so many others in the US and beyond are lining up for their own safety shot. “I don’t think guilt is the right word,” she said. The tier system recommended by government officials to prioritize those at highest risk made scientific sense. But there was still an immense privilege, she said, hidden in the tiny droplets of liquid that were stabbed in her right arm this month.

After almost a year at the forefront in the fight against the coronavirus, health workers are finally receiving long-awaited tools. It felt strange to wear, they said amid the many millions who are still left without their own chain mail.

Manevone Philavong, 46, who has worked in the environmental services department at the University of Pittsburgh’s Passavant Medical Center for 21 years, was one of the first in the country to be vaccinated on the morning of December 14th.

He long ago got used to the risks involved in his job cleaning almost “every aspect of the hospital,” he said. Coming home from work, he goes into the garage and undresses in the basement before going into the house where he lives with his mom and dad, who are in their 80s, and his pregnant 30-year-old niece.

Since the beginning of the pandemic, Mr. Philavong has tried to keep physical distance from his parents. They speak to each other from opposite sides of the living room. His father had to work alone while he tinkered with the family cars – a 2008 Jeep Grand Cherokee and a 2009 Ford F-150 – and tended the herbs and vegetables in the garden. That year, the family skipped their regular trip to Moraine State Park to fish for trout and perch.

When Mr. Philavong told his parents about his injection, they were delighted. “They said, ‘Now you can spend more time with us,’ he said. I said, ‘Not quite yet.’

The vaccine offers “a layer of hope,” said Mr Philavong. “But I’ll still take all the precautions I can.”

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Business

Rolling Houses That Make an R.V. Look Palatial

What if you took a road trip and never come back?

Two couples called the road home for years and traveled hundreds of thousands of adventurous miles. Your havens? For a couple, a Mitsubishi Delica all-wheel-drive van, small compared to a motorhome or even other vans, let alone a fancy little house. On the other hand, a Ford Festiva, small compared to almost anything on four wheels.

The coronavirus pandemic has kept both couples and their vehicles idling for the time being as they all await their next chapters.

The 1988 two-door Festiva became known as the Peace Love Car. It was Sam Salweis’ home for eight years and Raquel Hernández-Cruz joined him four years later. After meeting up by chance and traveling together for a month in 2012, they got together again in 2013 – and have been together ever since.

“While I was working on my bachelor’s degree, a friend gave me the car as a gift,” said Mr. Salwei, a 39-year-old Crystal, ND, who graduated from the University of North Dakota with a degree in social entrepreneurship. “A free car that was also gas efficient was a dream. I really didn’t need anything else. “

He started with short road trips and then thought he could stay longer if he didn’t have to return home. “Little by little, I began to adapt the car so that I could sleep in it,” he said, pointing to “a slow change of five years”.

When the car is parked at Mr. Salweis’s mother’s home in North Dakota, the couple resumed their journey. They spent the past winters in Thailand, but after the coronavirus outbreak earlier this year, they left to try to get out of the pandemic with Ms. Hernández-Cruz’s family in Puerto Rico. In September they traveled to California, where they also bought and furnished a delica while living a hermit lifestyle in Long Beach.

For Ms. Hernández-Cruz, who is 40 and raised in rural Puerto Rico, “my life seemed pretty ordinary as I followed the path my parents had previously taken – school, college, marriage, graduate school, maybe Having children and working A job for the rest of your life. “

That wasn’t her way. She started practicing yoga and wanted something different. She met Mr. Salwei and they soon traveled around the world as a yoga slacker, teaching slackline yoga on a tightrope walk.

Your car was of course very much adapted to nomadic life. It had over 10 USB charging ports, seven 12-volt power connections, and six 110-volt plug-ins. It took two RV batteries and 400 watts of solar panels to power the hatchback, a small refrigerator, various electronics, and a ceiling fan.

The windows had screens, the body panels were insulated, and the bed slept two adults (comfortably). It features a DIY tail lift kit with an improved suspension and steering system. Two roof boxes acted as an attic and contained adventure gear, backpacks, cameras and accessories.

The car’s kitchen consisted of a Craftsman tool bag and “a random combination of warehouse and household kitchen items,” said Ms. Hernández-Cruz, all as small and light as possible. When hunger arose, they stopped and cooked: free campsites, rest stops, gas stations or the roadside. The empty car weighed a little over 2,500 pounds, but when fully loaded it pushed over 3,700 pounds.

Everything in the car “has a place and you can usually get to it in less than three movements,” Salwei said. “Parking is a breeze, it’s easy to crowd into small campsites, and most importantly, you can pick it up and move it by hand when needed.”

The Festiva odometer reads 524,000 miles and has crossed the United States approximately 20 times since 2008. Since 2013, the couple toured and taught in three countries and 49 states (Hawaii the exception). The Festiva got a farewell tour in 2014 and since 2017 they have been trying to find a new home in search of “a worthy pilot who needs an adventure,” said Salwei.

In the slightly larger quarters of their Mitsubishi Delica Star Wagon from 1991, Pablo Rey and Anna Callau made their way through 60 countries.

Their vehicle also has a nickname: La Cucaracha, and it was the couple’s home for 16 years. It was even the guest of honor at their Las Vegas wedding – they made their vows in a drive through ceremony in 2011.

What began as a four-year excursion, one continent a year, has turned into a never-ending journey. “Life outside of our usual boundaries was much richer and more exciting,” said Rey, 54, who grew up in Buenos Aires.

Economy & Economy

Updated

Dec. Dec. 23, 2020 at 8:59 p.m. ET

However, the couple’s travels in the van are interrupted and it stands near Reno, Nevada, waiting for the post-pandemic era. Mr. Rey and Mrs. Callau, 48, now live near their family home in Europe.

The couple paid around $ 10,500 for the van on Christmas Eve 1999 in Barcelona, ​​Spain, with around 52,000 miles on the odometer. (They later suspected it was illegally and significantly reset.) They have made numerous adjustments over the years, including an additional 20 gallon fuel tank and a solar panel.

They encountered challenges and mishaps along their 245,000 miles. In Sudan, “we lost the air filter cover and half of the sand from the Sahara desert went into the engine,” Rey said. “We were in an area where nobody speaks English, only Arabic.”

The local mechanics only repaired tractors. The couple had no phone, embassy, ​​or AAA to ask for help. Still, they made it.

Bandits attempted a robbery with AK-47 in Kenya. Mr Rey and Ms. Callau were attacked by thieves in Trinidad and Tobago, and Ebola was diagnosed in Kitum Cave, Kenya while traveling around town. The Andes in Chile posed another threat: the Delica’s engine stalled at 15,000 feet and needed to be replaced.

The Festiva also had some problems. In the more than 400,000 miles Mr. Salwei has traveled, bad transmissions have been eliminated from the roadside and grocery store parking lots. However, nothing was more challenging than being sick while living together in 28 square meters.

“Our body is the most intrinsic machine we have,” said Ms. Hernández-Cruz. “We have to do our best to keep it going for a long time.”

Adversity or challenge can lead to rewards and happiness. “Interesting stories usually come when you step out of your comfort zone,” said Ms. Callau, who is from Barcelona and who identifies herself in Catalan. The couple shares their travels online through Viajeros 4x4x4 and related social media channels.

“Living on the street means living with a lot more freedom,” added Ms. Callau. The couple worked as a piste police in a bar in Chile and a ski resort. They printed and sold t-shirts, postcards, and books they wrote about their trip to help fund their trips. They even developed a comic with a friend from Boston about life on the street.

One of the most rewarding parts was “being the owners / masters of our time,” said Ms. Callau. “The magic is now in the unexpected,” added Mr Rey.

For Kathryn Joyce, another YogaSlackers teacher and postdoctoral fellow at the Princeton University Center for Human Values, the Peace Love Car was “fun, inviting, apologetic.” It even symbolized freedom, she said: “Freedom from consumerism, social standards, burdensome obligations, but also freedom in the sense of independence.”

This festiva was loaded with over 2,000 stickers, which resulted in countless police stops and border controls, but relatively few tickets. It was “much more than a car or a house,” said Mr Salwei. “It’s the ultimate smile maker.” He added, “Anyone who sees the car responds, mostly with a bright smile.”

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Business

CVS Well being has 10,000 staffers able to vaccinate seniors at nursing houses

Larry Merlo, chief executive of CVS Health, said the company was ready to deliver “vaccines into the arms of some of our most vulnerable populations” within 24 to 48 hours of receiving its share of Covid-19 vaccines.

“We are ready to go. We are in great shape and as I mentioned, people are excited to be an important part of this solution,” Merlo said in an interview on CNBC’s Squawk Box on Thursday.

Merlo said the company has 10,000 health professionals ready to take the shots in nursing homes and assisted living centers. He said the company has “hired individuals” to help with Covid-19 testing since this pandemic began. And he added it has experience with seasonal flu vaccinations in long-term care facilities.

The government signed a contract with CVS and Walgreens in October to give the coronavirus vaccinations to residents and employees of long-term care facilities across the country. The vaccines are free and are administered in on-site clinics at each location, according to the Department of Health and Human Services.

As part of the massive effort, CVS and Walgreens had to ensure they had enough staff to fan into the centers and expedite the process.

Merlo said the company has reached out to pharmacy schools to help find and recruit pharmacists, pharmacy technicians and pharmacy interns. He said there are also hired health professionals who are retired but still have their licenses and are willing to work part-time.

He said all CVS pharmacies already have refrigerators and freezers that can store five of the six vaccine candidates at the right temperature. He said only one of the six vaccine candidates – Pfizer’s – would require special storage.

The Pfizer vaccine will be distributed in special thermal mailers that can help achieve a 15-day life cycle, Merlo said. It can then be stored for an additional five days in the drugstore’s typical refrigeration facility, which can either freeze or chill, he said.