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Health

Tennessee transfer to halt vaccine outreach to teenagers ‘extremely disturbing’

Director of the Centers for Disease Control and Prevention (CDC) Dr. Rochelle Walensky testifies during a Senate Appropriations Subcommittee hearing to examine the FY 2022 budget request for the Centers for Disease Control and Prevention on May 19, 2021 in Washington,DC.

Jim Lo Scalzo | AFP | Getty Images

Tennessee’s decision to cease vaccine outreach to teenagers while in the midst of a pandemic is “incredibly disturbing,” the head of the Centers for Disease Control and Prevention said Thursday.

“I find this incredibly disturbing. Not only is it disturbing for Covid, but it is disturbing for all vaccine-preventable illnesses,” CDC Director Dr. Rochelle Walensky said in an interview Thursday with CBS This Morning.

The state’s department of health reportedly decided to cease adolescent vaccine outreach for all vaccines, not just for Covid, effectively ending all government communication or education initiatives to teens in the state about vaccines.

The decision made headlines when the state’s medical director for vaccine-preventable diseases and immunization programs at the Tennessee Department of Health, Dr. Michelle Fiscus, was fired after she sent a memo to physicians outlining state policy that allows minors to seek medical care without parental approval.

Department spokesman Bill Christian said in a statement to CNBC that the state hasn’t halted its immunization program for children and continues to support “those outreach efforts. Providing information and access are routine public health functions, and that has not changed.”

He didn’t specifically say whether the state’s outreach program itself was halted.

The Tennessean, a newspaper in Nashville reported on Tuesday that it had gained access to internal reports and emails that instructs Tennessee Department of Health staff to subsequently strip the agency’s logo off of any disseminated vaccine education materials.

In another email that the Tennessean claims was sent from the agency’s Chief Medical Officer, Dr. Tim Jones, he told staff they should do “no proactive outreach regarding routine vaccines.” Staff was also reportedly told not to do any pre-planning for flu shots events at schools. In the emails, Jones reportedly said that any school-related vaccine information should come from the state’s Department of Education.

The newspaper also claims that internal documents reportedly indicate that the agency was directed by Health Commissioner Dr. Lisa Piercey to halt all Covid vaccine events on school property and to no longer send postcards or other notices reminding adolescents to return for their second doses of Covid shots.

On Thursday, the agency released a statement labeling the circulating reports as misinformation. “There has been no disruption to the childhood immunization program or access to the Covid-19 vaccine while the department has evaluated annual marketing efforts intended for parents,” Piercey said in the statement.

The statement does not address reports that the agency halted vaccine outreach for adolescents.

Fiscus said she began to feel the pressure after she highlighted a public document from a state Supreme Court case ruling that allows residents above the age of 14 to seek medical treatment without the consent of a parent “unless the physician believes that the minor is not sufficiently mature to make his or her own health care decisions,” according to the ruling.

“I am not a political operative, I am a physician,” Fiscus told MSNBC. She said she was told she was “poking the bear” and that she needed to work on her political awareness after publicizing the public document. Republican lawmakers likened the state’s adolescent vaccine outreach to peer pressure, she said.

Tennessee has one of the worst Covid vaccination rates in the country, fully immunizing just 38% of its total population, according to CDC data. The state is also seeing increasing Covid cases, with the average number of daily new cases spiking from 177 to 418 in just the past two weeks.

“We now have our most hesitant population being rural male conservative whites, who really do hang their hat on this political ideology that Covid-19 isn’t real, isn’t a threat, or that getting the vaccine somehow props up the left-wing part of our political system,” she told MSNBC.

The state and others with low vaccination rates are starting to see cases climb as the delta variant takes hold in the U.S.

“This is something that we anticipated … that we would see in areas of high vaccination, low case rates, and now we see in areas of low vaccination, high case rates,” Walensky said.

Walensky said a spike in infections could come in the next few months but that if more people get vaccinated now, the nation can “prevent what could happen in the fall.”

Correction: A previous version of the headline misquoted Dr. Rochelle Walensky.

Categories
Politics

Democratic Report Raises 2022 Alarms on Messaging and Voter Outreach

The Democrats defeated President Donald J. Trump and captured the Senate last year with a racially diverse coalition that has won tiny margins in key states like Georgia, Arizona and Wisconsin.

They cannot expect to repeat this feat in the next elections, warns a new report.

A 2020 election review conducted by several prominent Democratic pressure groups found that the party is at risk of losing ground with Black, Hispanic, and Asian-American voters if it does not do a better job of delivering an economic agenda present and counter efforts by Republicans to spread misinformation and bind all Democratic candidates to the far left.

The 70-page report submitted to the New York Times was compiled at the behest of three major democratic pressure groups: Third Way, a centrist think tank, and the Collective PAC and Latino Victory Fund, which sponsor black and Hispanic candidates. It seems like the most thorough act of self-criticism by either Democrats or Republicans since the last election campaign.

The document is all the more eye-catching as it is addressed to a victorious party: despite their successes, the Democrats had hoped to gain more robust control over both houses of Congress, rather than the extremely precarious margins they enjoy.

The study found, in part, that Democrats fell short of their ambitions because many House and Senate candidates failed to garner Joseph R. Biden Jr.’s support with colored voters who loathed Mr. Trump but distrusted the Democratic Party as a whole. These constituencies included Hispanic voters in Florida and Texas, Vietnamese-American and Filipino-American voters in California, and black voters in North Carolina.

Overall, the report warns, in 2020 the Democrats lacked a core argument about the economy and recovery from the coronavirus pandemic – one that might have helped candidates fend off Republican claims they wanted to “shut down the economy” or worse. The party “relied too heavily on ‘anti-Trump’ rhetoric,” the report concludes.

“Winning or losing, whether they call themselves progressive or moderate, Democrats consistently cited the Democratic Party’s lack of a strong brand as a major concern in 2020,” the report said. “In the absence of strong party branding, the opposition clung to the GOP’s talking points and suggested that our candidates would ‘burn your house down and take the police away.'”

Former MP Debbie Mucarsel-Powell, a Democrat who lost re-election in South Florida in November, said in an interview that she spoke with the report’s authors and raised concerns about the Democrats’ reach towards Hispanic voters and the party’s failure to misinformation refute, voiced in Spanish-language media.

“Unfortunately, in a way, the Democratic Party has lost touch with our electorate,” said Ms. Mucarsel-Powell. “There is this assumption that naturally colored people or the working class will vote for Democrats. We can never accept anything. “

Drafted primarily by two veteran Democratic activists, Marlon Marshall and Lynda Tran, the report is one of the most significant volleys in the Democratic Party’s internal debate on how to approach the 2022 elections. It may arouse skepticism from some quarters because it involves the Third Way, which many on the left view with hostility.

A fourth group that originally supported the study, the campaign finance reform group, End Citizens United, withdrew this spring. Tiffany Muller, the group’s head, said she needed to give up her involvement and instead focus on passing the For the People Act, a comprehensive good government bill stuck in the Senate.

Mr. Marshall and Ms. Tran, as well as the groups supporting the review, have in the past few days started sharing their conclusions with Democratic lawmakers and party officials, including Jaime Harrison, chairman of the Democratic National Committee.

The study spanned nearly six months of research and data analysis, examining about three dozen races for the House and Senate, and included interviews with 143 people, including lawmakers, candidates and pollsters, said people involved in compiling the report . Campaigns reviewed included Senate elections in Arizona, Georgia, and North Carolina, and house races in the suburbs of Minneapolis, Los Angeles, Atlanta, and Dallas, and in rural New Mexico and Maine.

The study follows an internal review conducted by the Democratic Congress Election Committee and presented last month. Both projects found that democratic candidates had been hampered by flawed polls and campaign restrictions imposed by a pandemic.

In the DCCC report, the committee attributed setbacks at the congressional level to a surge in voter turnout by Trump supporters and an inadequate response by Democrats to attacks they labeled police-hating socialists.

Some MPs on the left have complained that criticism of left-wing embassies amounts to scapegoating activists for the party’s failure.

But the review of Third Way, the Collective PAC, and the Latino Victory Fund goes further, diagnosing the party’s message as flawed, which may have cost the Democrats more than a dozen House seats. The report offers a blunt assessment that in 2020 Republicans succeeded in deceiving voters about the Democrats’ agenda and that Democrats made a mistake by speaking to colored voters as if they were a monolithic, left-wing group.

California MP Tony Cárdenas, who heads the Congressional Hispanic Caucus Political Action Committee, welcomed this criticism of Democratic embassies and said the party should abandon the assumption that “colored voters are inherently more progressive.”

“That was a ridiculous idea, and it was never true,” said Cárdenas, lamenting that Republicans had “managed to confuse Latino voters with the message of socialism, things like that, ‘to disappoint the police.”

Quentin James, president of the Collective PAC, said it was clear that “some of the rhetoric we see from the Coast Democrats” has been problematic. Mr James pointed to activists’ demands to “discover” the police as being particularly harmful, even when it comes to overhauling the police.

“We conducted a poll that showed that, by and large, black voters were very supportive of police reform and budget reallocation,” said James. “That terminology – ‘defund’ – was not popular in the black community.”

Kara Eastman, a progressive Democrat who lost her bid for a seat in the House of Representatives based in Omaha, said Republicans had managed to deliver a “message of messages” that deceived her and her party as out of the mainstream. Ms. Eastman said she told the 2020 review authors that she believed these labels were particularly harmful to women.

Third Way strategist Matt Bennett said the party needed to be much better prepared to build a defense in the mid-term campaign.

“We have to take these attacks on Democrats as radicals very seriously and make them land,” said Bennett. “A lot of it just didn’t end up with Joe Biden.”

The Democrats retained a big advantage with black voters in the 2020 election, but the report identified clear weaknesses. Mr Biden and other Democrats lost ground among Latino voters compared to the party’s 2016 performance, “especially among working-class and non-college voters in these communities,” the report said.

The report found that a surge in Asian-American voter turnout had apparently secured Mr. Biden’s victory in Georgia, but that Democratic House candidates ran behind Mr. Biden with Asian-American voters in competitive races in California and Texas. In some key states, the Democrats did not mobilize black voters as much as the Republicans did to mobilize conservative white voters.

“A significant increase in voter turnout earned Democrats more raw votes from black voters than in 2016, but explosive growth among white voters in most races exceeded those increases,” the report warns.

On the Republican side, there has been no comparable self-assessment following the party’s severe setbacks last year, mainly because GOP leaders are reluctant to debate the impact of Mr Trump.

The Republican Party faces serious political obstacles resulting from Mr Trump’s unpopularity, the growing liberalism of young voters, and the country’s growing diversity. Many of the party’s policies are unpopular, including cuts in social and pension programs and lower taxes for the wealthy and large corporations.

Yet the structure of the American electoral system has tilted national campaigns in the direction of the GOP because of gerrymandering in Congress and the disproportionate representation of rural whites in the Senate and electoral college.

Democrats’ hopes for the mid-term election so far have depended on the prospect of a strong recovery from the coronavirus pandemic and on voters seeing Republicans as an unfit party.

New Jersey MP Mikie Sherrill, a moderate Democrat who was briefed on the report’s findings, called it evidence that the party needs a strong central message about the economy in 2022.

“We need to keep showing the American people what we’ve done and then talk ceaselessly across the country and in every city about how the Democrats run,” Sherrill said.

The report largely ignores the immense Democrats’ deficit among lower-income white voters. In their conclusion, however, Mr. Marshall and Ms. Tran write that the Democrats must deliver a message that includes working class whites and is in line with the GOP’s clear “collective gospel” on low taxes and military strength.

“Our gospel should be to stand up for all working people – including, but not limited to, white working people – and to enhance our values ​​of opportunity, equality and inclusion,” they write.