Categories
Politics

Census Reveals a Nation That Resembles Its Future Extra Than Its Previous

At first blush, Thursday’s release of census data held great news for Democrats. It painted a portrait of a considerably more urban and metropolitan nation, with increasingly Democratic metropolitan areas bustling with new arrivals and the rural, Republican heartland steadily losing residents.

It is a much less white nation, too, with the white non-Hispanic population for the first time dropping in absolute numbers, a plunge that exceeded most experts’ estimates, and the growth in the Latino population slightly exceeding forecasts.

But the census paints a picture of America as it is. And as it is, America is not very Democratic.

Besides the census, the other great source of data on American politics is the result of the 2020 election, which revealed a deeply and narrowly divided nation. Despite nearly the full decade of demographic shifts shown by the census, Joe Biden won the national vote by the same four-point margin that he won by as Barack Obama’s running mate eight years earlier — and with fewer votes in the Electoral College.

Democrats face great challenges in translating favorable demographic trends into electoral success, and the new census data may prove to be only the latest example. While the census shows that Democratic-leaning groups represent a growing share of the population, much of the population growth occurred in the Sun Belt, where Republicans still control the redistricting process. That gives them yet another chance to preserve their political power in the face of unfavorable demographic trends. And they are well prepared to do so.

The new data will be used by state legislatures and commissions to redraw electoral maps, with the potential to determine control of Congress and state legislatures across the country in next year’s midterm election.

Thursday’s release, the most detailed yet from the 2020 census, depicted a nation that increasingly seems to resemble its future more than its past. The non-Hispanic white share of the population fell to 57.8 percentage points, nearly two points lower than expected, as more Americans identified as multiracial. Vast swaths of the rural United States, including an outright majority of its counties, saw their populations shrink.

“Democrats have reason to be happy with this census data set,” said Dave Wasserman, House editor of the Cook Political Report, who cited the higher-than-expected population tallies in New York and Chicago and the steady growth of the nation’s Hispanic population.

Many Democrats had feared that Latino and urban voters would be badly undercounted amid the coronavirus pandemic and the Trump administration’s effort to ask about citizenship status.

It is still possible that the census undercounted Hispanics, but the results did not leave any obvious evidence that the count had gone awry. The Hispanic share of the population was in line with projections. New York City, the epicenter of the pandemic, showed unexpectedly strong population growth.

The surprising decline in the white and rural population is likely to bolster Democratic hopes that demographic shifts might help progressives secure a significant electoral advantage.

But the possibility that demographic changes would doom conservatives has loomed over American politics for more than a decade, helping to exacerbate conservative fears of immigration and even to motivate a wave of new laws intended to restrict access to voting. Tucker Carlson, the Fox News television show host, has repeatedly stoked racist fears of “white replacement,” warning his viewers that it is a Democratic electoral strategy.

Yet despite the seemingly favorable demographic portrait for Democrats depicted by the 2020 census, the 2020 election returned another closely divided result: a 50-50 Senate, one of the closest presidential elections in history, and a House majority so slender that it might be undone by the very data that Democrats were celebrating on Thursday.

The nation’s electoral system — which rewards flipping states and districts — has tended to mute the effect of demographic change. Many Democratic gains in vote margins have come in metropolitan areas, where Democratic candidates were already winning races, or in red states like Texas, where Democrats have made huge gains in presidential elections but haven’t yet won many additional electoral votes.

But Democrats haven’t fared much better over the past decade, as one would have expected based on favorable demographic trends alone. It’s not clear they’ve improved at all. Barack Obama and Joe Biden each won the national popular vote by four percentage points in 2012 and 2020. Demographic shifts, thus far, have been canceled out by Republican gains among nonwhite and especially Latino voters, who supported Mr. Trump in unexpectedly large numbers in 2020 and helped deny Democrats victory in Florida.

The new census data confirms that the nation’s political center of gravity continues to shift to the Republican Sun Belt, where demographic shifts have helped Democrats make huge inroads over the past decade. Georgia and Arizona turned blue in 2020. Texas, where Hispanic residents now roughly equal non-Hispanic whites, is on the cusp of becoming a true battleground state.

Just 50.1 percent of Georgians were non-Hispanic whites, according to the new census data, raising the possibility that whites already represent a minority of the state’s population by now.

But despite Democratic gains in the Sun Belt, Republicans continue to control the redistricting process in most of the fast-growing states that picked up seats through reapportionment.

The relatively robust number of Latino and metropolitan voters will make it more difficult for Republicans to redraw some maps to their advantage, by requiring them to draw more voters from rural Republican areas to dilute urban and metropolitan concentrations of Democratic-leaning voters. It may also help Democrats redraw maps to their favor in Illinois and New York, where they do control the redistricting process.

But there are few limits on gerrymandering, and even today’s relatively favorable data for Democrats are unlikely to be enough to overcome the expected Republican advantages in states where they enjoy full control over the redistricting process.

The Democrats may be relying on the Republicans’ growing bashful about gerrymandering, said Michael McDonald, a political science professor at the University of Florida.

“What the Republicans will have to do is crack the urban areas, and do it pretty aggressively,” he said. “It’s just one of those things we’ll have to see — how aggressive Republicans can be.”

Nick Corasaniti contributed reporting.

Categories
Health

U.S. celebrates as nation emerges from pandemic

Residents line up with chairs on the side of the street as they watch an Independence Day celebration parade on July 4, 2021 in Brighton, Michigan.

Emily Elconin | Getty Images News | Getty Images

Americans are set to celebrate the Fourth of July after the coronavirus pandemic forced the cancellation of most events last year, raising hopes that life is on the road to a semblance of normalcy as cases and deaths from Covid-19 near record lows.

The White House has encouraged people to come together and watch fireworks displays to mark the country’s “independence” from the virus. Businesses and restaurants are reopening across the country as restrictions are being relaxed and air travel briefly surpassed 2019 levels at the start of the holiday weekend.

President Joe Biden is even set to host an Independence Day party on Sunday with 1,000 essential workers and military families on the South Lawn of the White House, marking the first large-scale event held by the president.

He will deliver remarks at 7:30 p.m. ET.

Though the country has made significant progress against the pandemic due to the vaccination rollout, the Fourth of July weekend also comes as U.S. health officials monitor spread of the Covid delta variant, which is believed to be more transmissible than other strains earlier in the pandemic.

Coronavirus cases are much lower than the peak in January, when the country saw more than 300,000 new cases on a single day, according to a CNBC analysis of Johns Hopkins University data.

Still, cases have been trending upward in the recent days and some health officials warn that the U.S. shouldn’t declare victory over the pandemic yet due to the delta variant, which now comprises about a quarter of infections among mostly unvaccinated people.

As of Sunday, the seven-day average of new daily Covid cases in the U.S. is 13,196, an 11% increase over the last week, according to CNBC’s analysis of JHU data.

Deaths in the U.S. have been slowing for months. The seven-day average of new Covid deaths is 225, down 23% from one week prior, according to CNBC’s analysis.

More than 600,000 people in the U.S. have died over the course of the pandemic.

White House Covid czar Jeff Zients on Sunday defended the Biden administration’s upcoming Fourth of July party and said the U.S. has “a lot to celebrate,” citing that two out of three adult Americans have received at least one dose of the vaccine.

“We are much further along than I think anyone anticipated in this fight against the pandemic,” Zients said during an interview on ABC’s “This Week.”

In fact, the administration narrowly missed its goal to fully immunize 160 million Americans and have 70% of adults with at least one shot by the Fourth of July. But nearly 156 million Americans are now fully vaccinated and more than 182 million have received at least one dose, according to the Centers for Disease Control and Prevention.

Dr. Scott Gottlieb told CNBC on Friday that most people should feel comfortable gathering over Independence Day weekend, citing high vaccination rates and low virus infection levels in much of the country.

“There’s very low prevalence around the country. You have to judge based on where you are,” Gottlieb said on “Squawk Box.” “In some parts of the country where you see prevalence rising … I think people should exercise more caution.”

Roughly 1,000 counties in the U.S., mostly located in the Southeast and Midwest, have vaccination coverage of less than 30%, according to the CDC. And in some counties, the delta variant rates are as high as 50%.

Dr. Anthony Fauci, the country’s top infectious disease expert, said on Sunday that people in areas with low vaccination rates, such as Mississippi, should “go the extra mile” and wear a mask even if they’re vaccinated.

“If you put yourself in an environment in which you have a high level of viral dynamics and a very low level of vaccine, you might want to go the extra step … even though the vaccines themselves are highly effective,” Fauci said during an interview on NBC’s “Meet the Press.”

The Pfizer-BioNTech and Moderna vaccines were authorized by the Food and Drug Administration for emergency use in December, followed by the Johnson & Johnson vaccine in February.

Categories
Health

Seychelles most vaccinated nation on Earth however Covid-19 has surged

A woman with an umbrella walks in a street in the capital Victoria of the Seychelles.

Valery Sharifulin | TASS | Getty Images

Seychelles worries world health experts after a surge in Covid-19 cases in fully vaccinated people.

The World Health Organization announced Tuesday that it would review coronavirus data from the Seychelles, an archipelago of 115 islands in the Indian Ocean, after the Ministry of Health said in the week leading up to May 8 that more than a third of people were positive tested for Covid-19 had been fully vaccinated.

It is believed that the Seychelles have so far carried out a very successful vaccination rollout. It can boast of having the highest percentage of people vaccinated against Covid-19 in the world, above Israel and the UK

The majority of people vaccinated have received China’s Sinopharm vaccine (approved by WHO for emergency use last Friday) as well as the AstraZeneca shot (known locally as Covishield, a version made in India). Overall, the Seychelles, with a population of over 97,000, recorded just under 8,200 cases and 28 deaths during the pandemic.

On Monday, the Seychelles Ministry of Health reported a sharp increase in the number of cases. Of the 120 new cases reported on April 30, a week later, over 300 cases were recorded a day on May 7 and May 8, respectively.

Of all positive cases, the Department of Health said 63% were either not vaccinated or were only given a dose of SinoPharm or Covishield, but 37% of new infections were in people who received both doses.

The ministry found that 80% of patients in need of hospital treatment had not been vaccinated and were more likely to be people with comorbidities. It added that “almost all” of the critical and severe cases requiring intensive care had also not been vaccinated. To date, none of the patients who died with Covid-19 had been fully vaccinated.

To date, 57% of those who received two doses have received Sinopharm and 43% have received Covishield, the Seychelles Ministry of Health said. It is unclear which vaccine was given to people who were fully immunized but then tested positive for Covid.

While new cases flattened on May 7 and 8 (with 317 new cases reported and 314 cases), the Ministry of Health said, “The transmission rate remains high and is worrying.”

The situation has certainly alarmed experts, especially since 60% of the total population of Seychelles has been fully vaccinated. In addition, 86% of the Seychelles target population for vaccination – 70,000 people – have been fully vaccinated to date, according to data from the ministry.

What the WHO thinks

On Monday, WHO director for Immunization, Vaccines and Biologics, Dr. Kate O’Brien, in a briefing, that the WHO is in direct communication with the Ministry of Health of the Seychelles and that the situation is “a more complicated situation than the top situation”. Line messages. “

“As mentioned earlier, the vaccines are very effective against severe cases and deaths. Most of the cases are mild cases. What is also important is that a significant proportion, over 80% of the population, has been vaccinated. But as we know … occur some of the reported cases occur either shortly after a single dose or shortly after a second dose, or between the first and second dose. “

She said that in this particular situation a very detailed assessment is required, “what the situation is like, first, what pressures are circulating in the country, second, if the cases occur in relation to the time someone has been dosed, third, how.” hard they are of the cases. “

‘Only through this type of assessment can we judge whether or not it is vaccination failure or whether it is more about the nature of the cases occurring, the milder end of the cases, and then the timing of the cases relative to the timing of the doses given to individuals. This assessment is ongoing and we are supporting and working with the country to understand the situation. “

CNBC has asked WHO for an updated comment on the situation in Seychelles but has yet to receive a response.

Effectiveness of the vaccine

The WHO has repeatedly warned that vaccination alone would not be enough to stop the pandemic, but would rather be another weapon in the arsenal to fight the virus.

Restrictions on social contact as well as good personal hygiene are still seen as a basis for preventing the spread. Last week, the Seychelles placed restrictions on some social gatherings and public spaces to curb the spread.

The situation of the islanders is a reminder that no coronavirus vaccine currently in use has been proven to be 100% effective in preventing Covid-19 infection. Still, all vaccines currently approved for use by the WHO have been shown to be very, if not extremely, effective in preventing serious Covid infections, with cases, hospitalizations and deaths falling sharply in countries with advanced vaccination programs like the UK

With a third wave of cases and new virus variants that could lead to further deaths and economic devastation, time is of the essence to get life-saving vaccines approved and distributed worldwide. The more available, the better.

On Friday, the WHO approved the state-owned Chinese pharmaceutical company SinoPharm for emergency use. This could accelerate the use of the shot in the WHO COVAX program, which aims to give poorer countries access to vaccines.

WHO said the addition of the SinoPharm vaccine had “the potential to rapidly accelerate access to Covid-19 vaccines for countries that want to protect health workers and vulnerable populations.”

It noted that the WHO Strategic Advisory Group on Immunization Experts had completed a review of the vaccine and recommended it on a two-dose regimen, three to four weeks apart, for adults aged 18 and over based on all available evidence.

“The effectiveness of the vaccine in symptomatic and hospital illnesses was estimated to be 79%, all ages combined,” it said. However, it was found that “few older adults (over 60 years of age) have participated in clinical trials, so efficacy in this age group could not be estimated”.

In March, AstraZeneca released an updated clinical trial date showing the vaccine is 76% effective against symptomatic Covid-19 infections. Pfizer-BioNTech and Moderna vaccines were found to be 95% effective.

Categories
Politics

Biden Seeks Shift in How the Nation Serves Its Folks

Having struggled to respond to a surge in migrants on the southwest border since taking office, the president promoted his planned overhaul of the immigration system and spoke about his goals to curb climate change by cutting carbon emissions in half over the next decade.

While Mr Biden endorsed his decision to withdraw all troops from Afghanistan by September 11 after nearly 20 years of war, he said little new about how he would approach the challenges of increasingly antagonistic opponents such as China, Russia, Iran and North Korea than his intention to repeat, drawing a hard line if necessary, and looking for collaboration where possible.

But as striking as anything else in the speech was Mr. Biden’s vision of a profound lynchpin in America’s eternal debate about the role of government in society. Four decades after President Ronald Reagan declared that government was the problem, not the solution, Mr Biden wanted to turn that thesis on its head and use the state as a catalyst for reshaping the country and restoring the balance between the richest and the rich strengthen the rest.

The American Families Plan, as he called his latest $ 1.8 trillion proposal, would follow the American Rescue Plan, a $ 1.9 trillion spending package on pandemic relief and economic incentives that he already has and the American Jobs Plan, a $ 2.3 trillion program for infrastructure, home health care, and other priorities that is outstanding.

The family plan includes $ 1 trillion in new spending and $ 800 billion in tax credits. It would fund the universal preschool garden for all 3- and 4-year-olds, a federal paid family and sick leave program, efforts to make childcare more affordable, a free community college for all, aid to students at colleges that historically serve non-white communities, and expanded subsidies under the Affordable Care Act.

The plan would also extend key tax breaks that are included as temporary measures in the coronavirus relief package and benefit low- and middle-income workers and families, including the child tax credit, the earned income tax credit, and the child and dependent care tax credit.

To pay for this, the president proposed raising the marginal tax rate for the top 1 percent of American income earners from 37 percent to 39.6 percent. It would also increase capital gains and dividend tax rates for those who earn more than $ 1 million a year. And he would remove a provision in the tax code that reduces capital gains on some inherited assets, such as vacation homes, that largely benefit the rich.

Categories
Business

Biden, Calling for Large Authorities, Bets on a Nation Examined by Disaster

“People are fed up with it,” said Florida Senator Rick Scott, who heads the Senate Republican campaign arm leading to the 2022 election.

These attacks do not seem to have the same impact as they did during Mr Obama’s tenure, when the White House proposed a much smaller stimulus package than many economists believed was warranted given the huge erosion of household wealth following the financial crisis. Mr Obama has raised taxes on high wage earners, partly to fund the Affordable Care Act, but not to the extent that Mr Biden is proposing.

Mr. Biden could thank Mr. Trump for part of this postponement. The pandemic relief bills he signed last year with the support of both parties in Congress may have helped reset public views on Washington’s spending limits. “Trillions” was sort of a red line under Mr. Obama, but nothing more.

Mr Trump also urged Congress to approve direct controls, an effort Mr Biden continued, and launched the Operation Warp Speed ​​vaccination program, which helped accelerate the deployment of the most important driver of economic activity that year: vaccinated Americans. As the economy reopens and people return to work, economic optimism rises, although Republicans across the country continue to be more pessimistic and more likely to oppose Mr Biden’s plans.

In Washington, the president doesn’t need Republican support to push his agenda through. He only needs his party to stick together in the House of Representatives and Senate, where the Democrats enjoy a low-margin majority and move as much spending and taxation as possible through what is known as the budget balancing process. The maneuver bypasses the Senate filibusters and enables laws such as this year’s auxiliary law by Mr Biden to be passed only with a majority of votes.

This process will give great influence to moderate Democrats like Senator Joe Manchin III of West Virginia, but so far this group has not declined in the order of Mr. Biden’s ambitions. Mr. Manchin has announced that he will support $ 4 trillion in infrastructure spending.

It is unclear whether Mr Biden will be able to keep Mr Manchin and others on with his people-centered expenses like the education and childcare efforts unveiled on Wednesday. His administration tries to argue for productivity reasons, viewing the plan as an investment in an inclusive economy that would help millions of Americans gain the skills and work flexibility they need to build a middle-class lifestyle.

Categories
Health

As Nation Speeds to Vaccinate All, Maryland’s Path Reveals Challenges Forward

UPPER MARLBORO, Md. – The road to rapidly vaccinating the country’s 250 million adults is being paved with pharmacy chains, hospitals and huge stadiums where uniformed troops vaccinate thousands of people every day.

It will also rely on the recreation center at Glenarden’s First Baptist Church here, along with tiny storefront service organizations and vaccine-filled vans searching the neighborhood for unprotected ones.

Maryland offers a microcosm of the problems states will face if they rush to open enough vaccination sites to meet President Biden’s goal of qualifying every adult for Covid-19 admissions by May 1. It has tackled almost all of the geographic, demographic, and human behavior problems associated with coming up with a public health task of this magnitude: poor neighborhoods where many lack access to regular care; affluent Washington suburbs whose residents have proven adept at sucking up records for other zip codes; isolated rural areas; and a registration system that has angered citizens so that the vaccine hunt has become for many part-time workers.

“We’re going to push, but we also have to push,” said Dennis Schrader, the incumbent health minister in Maryland, describing the state’s plan to not only increase capacity at mega-locations and pharmacies, but also to “attract people” with smaller, more targeted ones Efforts.

Virtually every state in the nation is currently in a dangerous race between vaccinating its residents and succumbing to a severe wave of cases, caused in part by the emergence of new variants of the coronavirus. As states rush to expand shooting eligibility, many are also relaxing the rules on eating, gathering, and masking.

Extensive group efforts across competing interests will be required to bring states closer to herd immunity. Efforts to track who is being vaccinated and where are becoming even more important so that health officials can quickly identify who is being left behind and change their strategies and resources accordingly.

Many states have already opened vaccination to all adults, including more than a dozen this week alone. To move the process forward, Mr Biden announced on Thursday a new advertising campaign aimed at communities where vaccine reluctance remains high.

“It will really be the start of a much stronger surveillance and analysis that is needed to ensure this has been both a quick and fair launch of the largest vaccination campaign in human history,” said Alison M. Buttenheim, Associate Professor at the University of Pennsylvania School of Nursing.

Here in Maryland, the pent-up demand for the vaccine is huge: only people age 65 and over, some types of essential workers, and some other narrow categories were eligible through March, so two-thirds of the population were still unprotected.

On Tuesday, Republican Governor Larry Hogan opened the vaccination to anyone 16 years and older who had certain medical conditions. Everyone aged 16 and over is eligible until April 27, regardless of medical status.

But while Mr Hogan has been heavily criticized by local leaders for the state being in the middle of the road, some people fear it is accelerating too quickly. Mr Hogan has already been criticized for not doing enough to reach the Black and Latino residents, who make up more than 40 percent of the state’s population, but only 28 percent of those who received at least one shot.

Hogan’s government plans to open four more mass vaccination sites by the end of April, bringing the number to 12. 320 pharmacies administer shots. Next week, an area operated by the federal government will open at a subway station. Mr. Hogan’s goal is to have 100,000 shots a day by May, up from an average of 57,000 a day.

The state has begun calling in primary care physicians with the goal of having 400 practices administering shots by May. It also works with local health departments and community partners, especially churches, to open pop-up vaccination sites that target populations who may be geographically or socially isolated, or who distrust the government and large institutions.

Updated

April 1, 2021, 4:46 p.m. ET

Pastor John Jenkins of the First Baptist Church in Glenarden understood the role his church could play as he drove down a main street in Prince George’s County – a mostly black area with high Covid infection rates but low vaccination rates – after winding a row of cars, leading to a mass vaccination site at Six Flags amusement park.

“The people in these cars didn’t look like the people in the county,” said Pastor Jenkins. “The people in this church couldn’t get appointments.”

With the help of his church’s long-time partner, the University of Maryland Capital Region Health, he and his army of church volunteers quickly created pop-up vaccination sites. State officials who provided contract workers visited his sprawling indoor recreation center and quickly agreed to significantly expand his initial dreams of several hundred shots a week.

The site, which functions like a medical center, planned to vaccinate a few hundred people a day, but was quickly getting closer with residents like Denise Evans who said she was “more comfortable” in her church than the stadium across the street approaching 1,000. The church will soon be ramping up to take daily recordings. “I am grateful that the governor has reallocated resources here,” said Pastor Jenkins.

Targeting smaller populations can also require special efforts. A group of Latino residents in Baltimore, given 25 seats in a state convention center, were often unable to reach the premises, and those who got there could not find anyone who spoke Spanish. The Esperanza Center in Baltimore, a unit of Baltimore Catholic Charities, was approached by the National Guard in February to work with Johns Hopkins to establish a clinic for that group at the Sacred Heart of Jesus.

“What was really important to us was that they didn’t wear uniform,” said Katherine Phillips, the center’s medical director. (Many of those who attend church are undocumented immigrants.)

The website uses a hotline to help residents make appointments and has recordings at their church on Friday evenings when more residents who otherwise couldn’t get off work can get there.

Another focus of criticism in Maryland, as in many other states, was the vaccine appointment scheduling system. Instead of having a single online portal where people can view available appointments across the state, each provider has its own online appointment system. This means that users often have to search multiple websites to find a slot. The state recently created a single online platform that residents can use to pre-register for an appointment at one of its mass vaccination sites. However, Mr Schrader, the incumbent health minister, said the hospital systems and pharmacy chains that operate most of the sites “want to use their own system.”

Dr. Josh Sharfstein, vice dean at the Johns Hopkins Bloomberg School of Public Health in Baltimore and former Maryland Secretary of Health, said he expected this approach to prove more problematic as more people seek appointments.

“This chaotic system of people having to go to 15 websites is really discriminating against people who don’t have a computer or who can’t spend all day on it,” said Dr. Sharpstein.

Mr Biden recently said his administration would help make it easier to find vaccine appointments, including by creating a federal government-sponsored website that will show people near the places where gunshots are being made and a toll-free line that people can call for help. He promised to find a vaccine by May 1st. He also promised to set up “technology teams” in states that need help improving their vaccine terminals.

To date, Maryland has sent about 30 percent of its weekly vaccine allocation to its high-volume locations, 30 percent to local health departments shared with community groups and other small providers, and the rest to hospital systems, pharmacies, and independent medical practices.

Going forward, Mr Schrader said the state will rely heavily on local health departments and community health centers to provide basic services to low-income and uninsured people in 126 locations across the country and receive their own allocation directly from the federal government. Among other things, they can compare their patient lists with the state vaccine register to find out who still needs a shot.

In Baltimore, where 21 percent of the population lives below the poverty line, local hospitals, pharmacies and a nursing school have teamed up with the city health department to send teams to public housing for the elderly at least six times a week and vaccinate more than 2,300 people there so far . The city will soon expand the program to other high-risk populations, said Dr. Letitia Dzirasa, the city’s health commissioner.

“It’s a little nerve-wracking to think that in a month’s time it will be completely open,” said Dr. Dzirasa.

Even so, she and other local officials across the state said they did not expect there to be shortages of vaccines or places where people could be shot. In Washington County, where large rural areas border Pennsylvania, Virginia, and West Virginia, Maulik S. Joshi, president and chief executive officer of Meritus Health, the local hospital system, said that between the county health department, the local aging committee, and his own co-worker, almost 3,000 employees, he was not concerned about the number of vaccine-compatible balloons.

“We put in people you wouldn’t believe,” said Dr. Joshi as he was preparing to open a mass vaccination site in an outlet center on a freeway in Hagerstown that was once a merino wool sweater and orange Julius outpost, now part of the medical center. “People from the areas of finance and outpatient rehabilitation care run our vaccination centers. We are hiring. We are ready to go. For us it is not a cost or a people problem, just a vaccine problem. “

Categories
World News

This Island Nation Had Zero Covid Circumstances for Months. Now It’s Overwhelmed.

“You are our family. You are our friends. You are our neighbors. They are our partners, ”said Australian Prime Minister Scott Morrison last week. “This is in the interests of Australia and in the interests of our region.”

Covax, a global health initiative aimed at making vaccination access more equitable, began rolling out vaccine doses for developing countries last month and is expected to deliver 588,000 to Papua New Guinea by June.

However, in some cases, wealthier nations have failed to honor contracts and have reduced the number of cans the initiative can buy, said Dr. Tedros Adhanom Ghebreyesus, the director of the World Health Organization, in a statement last month. He warned the pandemic would not end until everyone was vaccinated.

“This is not a question of charity,” he said. “It’s a question of epidemiology.”

Until then, officials in Papua New Guinea will not only have to fight the virus itself, but also a deluge of misinformation about the pathogen and vaccines, most of which is broadcast via social media channels.

“Even for trained health workers, there are many doubts,” said Dr. Nou, the Port Moresby-based doctor who conducted a survey of health workers’ views on the pandemic. He said that some in the country believed the virus was a joke, or that people on the island were immune, or that it was safer to contract the virus than to be vaccinated.

With the country now waging a full battle against the coronavirus, some public health experts fear that the diversion of resources could cause deadly costs for people with other serious health problems such as malaria or tuberculosis. Papua New Guinea has some of the highest rates of tuberculosis in the world.

Categories
Health

Navajo Nation studies no new Covid circumstances, deaths for first time in six months

Northern Navajo Medical Center is shown as staff inside begin receiving the COVID-19 vaccine December 16, 2020 in Shiprock, New Mexico. Northern Navajo Medical Center’s medical staff are among the first in the Navajo Nation to receive their Pfizer BioNTech vaccinations today.

Micah Garen | Getty Images News | Getty Images

The Navajo nation, which inhabits the largest area of ​​an indigenous tribe in the United States, reported Monday that it had no new coronavirus cases and deaths in the last 24 hours of launching an aggressive vaccination campaign.

The tribe, whose land stretches across Utah, Arizona, and New Mexico, had the highest per capita infection rate in the United States at the height of the pandemic.

The last time the tribe didn’t report any new cases was on September 8, when four people died of Covid-19. That hope was short-lived as cases rose again after Labor Day and up to 400 new daily cases were reported by November.

“No deaths and no cases in 24 hours – yes, it’s remarkable,” said Navajo Nation President Jonathan Nez during a town hall meeting Tuesday. “But let’s not let that get into our heads. This is not the time to travel.”

The number began to decline when Pfizer and Moderna rolled out Covid-19 vaccines across the Navajo nation and the rest of the US after drug makers received emergency clearance from the Food and Drug Administration in mid-December.

As of Tuesday, 57% of Navajo citizens had received at least one dose of the coronavirus vaccine, and 38% had been fully vaccinated with both doses. Vaccines are available in the strain for anyone aged 16 and over. According to the University of Arizona, there are approximately 298,000 enrolled members of the Navajo Nation, of whom approximately 173,000 Navajos live on the reservation.

The tribe also still has a mask mandate and a daily curfew, and health officials continue to offer free masks and hand sanitizer to citizens.

49 new cases have been recorded in the past seven days, and tribal health officials say an average of 285 tests are performed per day. As a former hotspot in the United States, the strain is in the second lowest place per 100,000 population in the United States in new cases for the past seven days. It ranks third between Puerto Rico and Hawaii the lowest.

Tribal health officials said the Navajo Nation has been in Code Orange for three weeks, meaning the cases are on a downward trend. Its outbreak is so limited that it now falls under the yellow code, which would mean there is no evidence of a sustained recovery in coronavirus cases in the strain, officials said.

Acting Assistant Area Manager Captain Brian Johnson said five rounds of U.S. government funding under the CARES Act, along with Navajo Citizens’ compliance, made a significant difference in the tribe’s ability to fight the pandemic.

Last Monday, some companies were allowed to reopen with a capacity of 25% under certain restrictions. Parks and lakes will soon be reopened only to Navajo citizens. The tribe still doesn’t allow outside visitors and requires that all schooling be virtual.

“We’re not out of the pandemic yet,” Nez said when addressing the Navajo Nation. “Be strong and resilient like our ancestors from time immemorial. … Covid-19 will also be defeated because we are strong warriors and have the armor and weapons to fight this modern monster.”

Categories
Health

For a Nation on Edge, Antacids Turn into Exhausting to Discover

At first it was toilet paper. Then it was meat.

Now it’s antacids.

People who search for over-the-counter belly pacifiers online or in stores are finding that parts of the country cannot simply buy antacids like tums, pepcid, and the generic version famotidine. A few weeks ago Wegmans Food Markets took the step of restricting buyers to two packets of famotidine products per trip.

During a hoarding pandemic, this can be the most unexpected.

Americans are stressed out. They are concerned about the rising number of coronavirus cases. They care about their work. Distance learning is a nightmare, and grocery shopping is no walk in the park. Not to mention the elections. And now the holidays are coming. The result is that some people are experiencing “pandemic stomach,” acid-generating episodes that increase the demand for over-the-counter and prescription antacids.

And antacids are also popular with people who are new to indigestion or heartburn. People started stocking up on them after preliminary studies suggested that famotidine could relieve symptoms of the coronavirus. Another wave of purchases hit this fall when President Trump was under treatment for coronavirus and White House officials said he was given famotidine along with zinc and vitamin D.

For those in need of relief, the bottlenecks are insane.

When 24-year-old Maia Callahan, a young early education graduate who teaches families and teaches distance learning in Greenfield, Massachusetts, attempted to put her usual order of Pepcid in her online Stop & Shop shopping cart in early September, it said again and again that the product is out of stock.

“I thought, OK, I’m going to place an order through Amazon,” said Ms. Callahan, who has an autoimmune disease and has been taking medication to treat her heartburn since she was 17. “That was the worst. One of the heartburn drugs was three times as expensive as usual. I took Tums for two weeks.”

Doctors said when the quarantines were lifted this spring, they noticed more patients reporting symptoms of heartburn and acid reflux.

“I think part of that is the stress of everything that’s going on in the world,” said Dr. Lauren Bleich, a gastroenterologist in Acton, Massachusetts, about 25 miles northwest of Boston, who said she saw a 25 percent increase in patients reporting heartburn and similar symptoms.

But she also said that the coronavirus, which has uprooted people’s normal lives and forced many to work from home, has led to many “dietary indiscretions” that trigger these symptoms.

“We are more relaxed than before with alcohol, sweets or our comfort food,” said Dr. Pale. “And then there is a lack of activity or movement. Weight gain definitely contributes to heartburn and acid reflux. “

Another perpetrator appeared in early November.

“We had many people with upset stomachs, heartburn and indigestion related to the elections,” she said.

Dr. Atul Maini, the medical director of the Heartburn Center at St. Joseph’s Health in Syracuse, NY, said that while the specialized center did not see an increase in patients, it did see a huge difference between the patients it has treated since the coronavirus quarantines have been lifted.

“The heartburn patients were now very anxious and depressed,” he said. “Something else had changed.”

Companies that make over-the-counter drugs are trying to meet demand.

“We are aware that there may be supply shortages,” said a spokeswoman for GlaxoSmithKline, which manufactures Tums, in an email.

However, for some antacids, the surge in demand may be linked to various preliminary studies suggesting that famotidine, the main ingredient in Pepcid, may reduce symptoms of the coronavirus.

In the spring, some patients with Covid-19 at Northwell Health in the New York City area received intravenous famotidine as part of a clinical trial following reports of use in China. The study was halted in May as patient volumes decreased and no conclusions were drawn. An observational study published earlier this fall by Hartford Hospital in Connecticut found positive results were also seen in coronavirus patients given famotidine.

Of the roughly 900 Hartford Hospital patients treated for coronavirus this spring, 83 were given famotidine at some point during their hospital stay. Those who received famotidine had lower hospital death rates and needed less help breathing a ventilator, the hospital said in its research report.

Still, the medical community is cautious about early results. In late June, the Infectious Diseases Society of America recommended the use of famotidine unless it was done in a clinical trial due to insufficient data.

Even before the preliminary research reports were published, demand for famotidine and Pepcid had risen sharply after the Food and Drug Administration asked companies to stop selling all forms of the heartburn drug Zantac in April and recommended consumers take it over the counter have version known as ranitidine, stop that. Small amounts of a carcinogenic chemical have been found in samples of the drug.

As consumers and doctors switched from Zantac to generic famotidine and pepcid, drug makers struggled to keep up. Some manufacturers reported drug shortages to the FDA earlier this year.

Johnson & Johnson, makers of Pepcid, did not respond to a request for comment. In July, company executives announced that US over-the-counter drug sales rose 30 percent in the second quarter, driven by strong demand for Tylenol, Pepcid, and other adult products.

For those who have taken Pepcid or generic versions of Famotidine, the past few months have been a struggle.

“I got a bottle in February but haven’t had one since,” said Mackenzie Doyle, a 21-year-old student at the University of Nebraska at Lincoln who is taking Pepcid with prescription strength to treat her immune disease. It will also be difficult to find over-the-counter Pepcid this spring, she said. When she visited her parents in Alabama during the spring break, Pepcid was sold out in the four stores she visited.

“When the first round of panic buying went on, it was impossible to find Pepcid,” said Ms. Doyle, who eventually found a generic famotidine at Walgreens and took double the dose to reach her prescription strength.

Ms. Doyle admits she has mixed feelings about the pre-studies on famotidine and coronavirus. While assisting the research, she wonders if the names of the drugs used could be withheld until more became known.

And then there are the just-in-case hoarders.

“They make me a little angry,” said Ms. Doyle. “There are so many people who have my immune disorder and who are worse than me and who need these drugs to stay alive. Having people buy it and keep it in their bathroom cabinet and never open the bottle makes me nervous. “