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Health

‘Dying Doulas’ Present Help on the Finish of Life

Since its inception in 2018, the National End-of-Life Doula Alliance, a professional organization of practitioners and trainers in the end of life, has grown to nearly 800 members; The number of members has almost doubled in the last year, said its President Angela Shook. There has been increased interest in training programs with the International End-of-Life Doula Association, Doulagivers, and the Doula Program to Accompany and Comfort, a nonprofit led by hospice social worker Amy L. Levine.

Much of the growing interest in these programs has come from artists, actors, youth and restaurant workers who were unemployed during the pandemic and realized they could still be of use.

“People of different ages, younger than we would normally see, because they realized that people in their age group were dying, which they usually don’t,” said Diane Button, 62, of San Francisco, a Doula Facilitator at UVM and a member the Bay Area End-of-Life Doula Alliance, a collective of death workers. “It made them more aware of their own mortality and really got them to plan and get their documents and living wills in order.”

Rebecca Ryskalczyk, 32, singer in Vergennes, Vt., Had always felt “pretty good” in death. When she was 12, she lost two cousins ​​in a plane crash and four years later a friend to suicide. When Covid paused her performance schedule, she enrolled with UVM. Its aim is to convey to people that they do not have to be afraid of death; you don’t have to do it alone either. “To be able to stand up for someone and share the last moments of their life with them and help them stick to their plan when they may not be able to express it is an honor,” she said.

Kate Primeau, 35, was also in the music industry before the pandemic. Last June, after her grandfather died of Covid-19, she began researching how to host a Zoom memorial and came across the concept of a death doula. “I felt a huge gap between the amount of grief everyone felt and the resources available,” she said. She was certified as an end-of-life doula by Alua Arthur’s company Going with Grace and is also volunteering in a hospice program. “I can’t believe how much I laugh at all this death education.”

Of course, during the pandemic, doulas had to change the way they work. That was one of the biggest challenges: you couldn’t interact in person. So, like the rest of the world, they used Zoom calls and FaceTime. Families often sought their own healing.

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Health

Two doses of Covid vaccines present safety in opposition to India variant

A healthcare worker holds syringes with the Moderna and Pfizer vaccines against the coronavirus disease (COVID-19) at a vaccination centre, in El Paso, Texas, May 6, 2021.

Jose Luis Gonzalez | Reuters

A new study has found that two doses of either the Pfizer-BioNTech or AstraZeneca-University of Oxford vaccine give effective protection against the Covid variant first discovered in India, however it underscored the need for two doses, as both vaccines were significantly less effective after only one shot.

The study, led by Public Health England, also found that two doses of one of those vaccines were similarly as effective at protecting against the variant that first emerged in the U.K. and has since become a dominant strain in the West.

Dr. Jenny Harries, CEO of the U.K. Health Security Agency, told the BBC that the study provided the “first real-world evidence of vaccine effectiveness” against the variant first identified in India.

Conducted between April and May, the research found that the Pfizer-BioNTech vaccine was 88% effective against symptomatic disease from the B.1.617.2 Covid variant — a subtype of a variant that emerged in India last fall which has since spread to Europe — two weeks after the second dose. The vaccine was 93% effective two weeks after the second dose against the B.1.1.7 variant. which was first discovered in the U.K. last fall.

Meanwhile, two doses of the AstraZeneca vaccine were found to be 60% effective against symptomatic disease from the B.1.617.2 variant from India, compared with 66% effective against the strain from the U.K.

“Vaccine effectiveness against symptomatic disease from the B.1.617.2 variant is similar after 2 doses compared to the B.1.1.7 (Kent) variant dominant in the U.K., and we expect to see even higher levels of effectiveness against hospitalisation and death,” the study authors wrote. The results were published Saturday as a preprint and the study has not yet been peer-reviewed.

PHE said the difference in effectiveness between the vaccines after two doses “may be explained by the fact that rollout of second doses of AstraZeneca was later than for the Pfizer-BioNTech vaccine, and other data on antibody profiles show it takes longer to reach maximum effectiveness with the AstraZeneca vaccine.”

However, both vaccines were only 33% effective against symptomatic disease from B.1.617.2 three weeks after the first dose. In the same time frame, they were found to be 50% effective against the B.1.1.7 variant.

Variant of concern

The variant first discovered in India has been blamed for causing a dramatic third wave of infections in the country, overwhelming hospitals and causing thousands of deaths this spring. There were concerns that Covid vaccines could be rendered less effective by the variant so the latest data should help allay those worries.

The India variant has been detected in numerous other countries now, according to the World Health Organization, which dubbed it a “variant of concern” in early May.

The PHE study analyzed data from 1,054 people, of all age groups and several ethnicities, confirmed as having the B.1.617.2 variant through genomic sequencing. The data was collected from April 5 and hence covers the period since the B.1.617.2 variant (one of three variant subtypes found in India) emerged in parts of the U.K.

“As with other variants, even higher levels of effectiveness are expected against hospitalisation and death. There are currently insufficient cases and follow-up periods to estimate vaccine effectiveness against severe outcomes from the B.1.617.2 variant. PHE will continue to evaluate this over the coming weeks,” the study’s authors added.

Responding to the study, the U.K.’s health secretary, Matt Hancock, described the findings as “groundbreaking – and proves just how valuable our Covid-19 vaccination programme is in protecting the people we love.”

The U.K. has given more than 22 million people two doses of a Covid vaccine, while 72% of the population (or almost 40 million people) have had one shot, government data shows.

Hancock said the latest data emphasized “how important the second dose is to secure the strongest possible protection” against Covid-19 and its variants.

Separate PHE analysis indicated that the country’s Covid-19 vaccination program has so far prevented 13,000 deaths and around 39,100 hospitalizations in older people in England, up to May 9.

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World News

U.S. working with IMF to supply $650 billion in forex help to nations hit by pandemic

The U.S. Treasury Department in Washington, DC on Friday, March 19, 2021.

Samuel Corum | Bloomberg | Getty Images

The Treasury Department is working with the International Monetary Fund to provide monetary aid of up to $ 650 billion to countries hardest hit by the Covid-19 pandemic.

An announcement by the Treasury Department on Friday showed it was helping the IMF allocate $ 650 billion in Special Drawing Rights, which “would help build reserve buffers, smooth adjustments and mitigate the risks of economic stagnation in global growth.” “.

SDRs are currency reserves that countries can use to supplement their foreign exchange assets such as gold and US dollars.

The Treasury Department’s announcement indicated that the allocation of SDRs is within the level the department is allowed to allocate without the approval of Congress. Treasury Secretary Janet Yellen and Senator John Kennedy, R-La., Had a heated discussion on the SDR issue during a public hearing recently.

In essence, the deal would allow countries to exchange their SDRs for US dollars. Global demand for American currency has been a recurring problem throughout the pandemic and has resulted in the Federal Reserve running a robust dollar swap program around the world as well.

The Treasury Department would exchange SDRs for dollars it holds in the Exchange Stabilization Fund. This, in turn, would require the government to borrow more money and create some coastline, namely the difference between the interest on the SDR and the interest on government bonds.

“These potential implied costs are much less than the benefits of a strong global recovery,” the department said in the press release.

“Addressing long-term global reserves would help support the global recovery from the COVID-19 crisis. A strong global recovery would also increase demand for US exports of goods and services – creating US jobs and US -Companies support “statement added.

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World News

U.S. to supply extra element on actions in opposition to Saudi Arabia

The Saudi Crown Prince Mohammed bin Salman speaks during the Future Investment Initiative Forum in Riyadh, Saudi Arabia on October 24, 2018.

To contact Algaloud Reuters

The State Department will provide additional information on action against Saudi Arabia on Monday after a U.S. intelligence report found the Crown Prince responsible for the brutal murder of journalist Jamal Khashoggi in 2018, a White House official told NBC News.

Secretary of State Antony Blinken on Friday imposed visa restrictions on 76 Saudi people believed to have “threatened overseas dissidents, including but not limited to the murder of Khashoggi”.

The office of the director of the National Intelligence Service released a report on Friday that found that Saudi Crown Prince Mohammed bin Salman approved the operation that killed Khashoggi. The report cited the Crown Prince’s control over decision-making in Saudi Arabia.

However, the New York Times reported Friday that the Biden government would not punish the crown prince for Khashoggi’s murder. The White House ruled that such measures would create excessive costs for US-Saudi Arabia cooperation on counter-terrorism and confrontation with Iran, according to the Times.

When asked on Saturday whether the US would punish the crown prince, Biden said the government would make an announcement on Monday about relations with Saudi Arabia. However, a White House official clarified that the announcement will include additional details about the state’s actions on Friday.

“The recalibration of relations with Saudi Arabia began on January 20 and is ongoing,” the official told NBC News. “The government took a multitude of new measures on Friday. The President pointed out that the State Department will provide further details on Monday and clarify these announcements, not new announcements.”

Khashoggi, a 59-year-old American and a Washington Post columnist, was a critic of the Saudi royal family. He entered the Saudi consulate in Istanbul on October 2, 2018 and never left.

Khashoggi was killed, his body was dismembered, and his remains were never recovered.

The White House has announced that it will review relations with Saudi Arabia, which were particularly close under former President Donald Trump. In a diplomatic reprimand to the Crown Prince this week, the White House made it clear that Biden does not see 35-year-old bin Salman as his counterpart and will instead have relationships through his aging father, King Salman.

Bin Salman has been the public face of the kingdom since he became Crown Prince in 2017.

– CNBC’s Spencer Kimball contributed to this report

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Health

Tilray inventory soars, firm to offer medical hashish in French examine

A worker inspects cannabis plants in the grow room of Aphria Inc.’s diamond factory in Leamington, Ontario, Canada on Wednesday, January 13, 2021. Tilray Inc. and Aphria Inc. have agreed to combine their activities to form a new giant in the fast growing cannabis industry.

Annie Sakkab | Bloomberg | Getty Images

Shares in Canadian cannabis company Tilray rose nearly 10% Tuesday after it was announced that the French government had been using it to provide cannabis for medical experiments.

The French National Agency for the Safety of Medicines and Health Products will start the 18- to 24-month study in the first quarter. Tilray’s products will treat patients with neuropathic pain, epilepsy and multiple sclerosis that are not relieved by existing treatments.

Tilray will export the medical cannabis products from its facility in Cantanhede, Portugal, which serves as the central research and development center for medical cannabis.

“Today’s announcement marks another milestone for Tilray as we expand our operations in Europe,” said Brendan Kennedy, Tilray chief executive.

Tilray stock is down about 2% in the past 12 months, increasing its market value to $ 2.53 billion.

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Business

Congress Strikes Lengthy-Sought Stimulus Deal to Present $900 Billion in Support

WASHINGTON – Congressional leaders reached an agreement on Sunday on a $ 900 billion stimulus package that will provide direct payments and unemployment aid to struggling Americans, as well as much-needed funding for small businesses, hospitals, schools and vaccine distribution The pandemic-ravaged economy is overcoming the months-long stalemate in a strengthening measure.

Kentucky Republican Senator and majority leader Senator Mitch McConnell announced the deal on Sunday night in the Senate, stating, “We can finally report what our nation has heard for a long time: More aid is on the way. ”

The deal, which came after a renewed spate of talks broke a partisan backlog that had lasted since the summer, came hours before the federal government ran out of funds. According to the draft, it should be merged with a major global spending measure that will fund the government for the remainder of the fiscal year, creating a $ 2.3 trillion giant that will be the final big act of Congress before passing for the year is adjourned.

Even so, Congress was at the height of its dysfunction despite preparing to pass a follow-up, given so little time to complete it that lawmakers were exposed to a series of biases to get them across the finish line . Given the additional time it took to turn their agreement into law, both chambers were expected to approve a one-day emergency spending bill later on Sunday – their third temporary extension in the past 10 days – to allow the government to shut down during the close of the Avoid contract.

The House was able to vote on the final package of spending on Monday, and the Senate should follow shortly afterwards.

While the text was not immediately available, the agreement was supposed to provide for $ 600 stimulus payments to American adults and children, and revive the federal additional $ 300 per week unemployment benefit – half of the aid provided by the US $ 2.2 trillion economic stimulus bill passed in March The devastating health and economic impact of the coronavirus pandemic was just coming into focus.

It would renew two federal unemployment programs that add to the regular benefits and would have expired next week without action from Congress. The deal will most likely provide rental and food aid, billions of dollars for schools and small businesses, and revitalize the Paycheck Protection Program, a federal loan program that expired earlier this year.

Updated

Apr. 20, 2020, 5:07 pm ET

In particular, the final compromise lacked the two most difficult political obstacles that had stood in the way for months. To get a deal just before Christmas and allow Congress to adjourn, Republicans agreed to drop comprehensive coronavirus liability coverage and Democrats agreed to ditch a direct stream of aid to state and local governments.

While the deal represented a triumphant moment in talks that had long stalled, it was far tighter than the one the Democrats had long insisted on and almost twice as large as any Republicans ever had in the days leading up to the deal had accepted the November election. Democrats had refused for months to scale back their demands for a multitrillion dollar package, citing the devastating number of the virus, and Republicans cracked down on another large infusion of federal aid, indicating the growing deficit.

Alluding to conservative concerns about the overall price of a package, legislation is expected to recycle more than $ 500 billion previously allocated under previous stimulus packages, McConnell said.

But in the end, the key breakthrough came just before midnight on Saturday when Republicans abandoned efforts to ban the Federal Reserve from setting up certain emergency loan programs to stabilize the economy in the future.

Pennsylvania Republican Senator Patrick J. Toomey made a last-minute push to prevent the Fed and the Treasury Department from setting up a loan program similar to the one launched earlier this year that helped boost lending to community, corporate and medium-sized companies continue to flow to business borrowers in times of crisis. After a series of talks between him and New York Senator Chuck Schumer, the Democratic leader, the agreed alternative would only ban programs that were more or less exact imitators of those that were newly hired in 2020.

At nearly $ 1 trillion, the package was one of the largest federal relief efforts in American history. The resulting compromise, however, fell far short of what most economists believed necessary to shake the shuddering economy and would give President-elect Joseph R. Biden Jr., who pushed for the compromise, the task of unifying Another important industry to look for aid package when he takes office in January.

The relief plan is combined with a total spending bill of $ 1.4 trillion. Includes the 12 annual budget bills to fund all federal ministry and Social Security Network programs, plus a number of legislators that are annexed to lawmakers to ensure their priorities can be set before Congress adjourns the year.

Mr McConnell said the two parties were still finalizing the text for dinner in Washington, and he did not say when they would officially introduce or put any bill to the vote.

“I’m confident we can do this as soon as possible,” said McConnell.

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Health

Pfizer negotiating with U.S. to supply a further 100 million doses, CEO says

Vials in cartons containing the Pfizer-BioNTech Covid-19 vaccine are being prepared for shipment on December 13, 2020 at Pfizer Global Supply’s Kalamazoo manufacturing facility in Kalamazoo, Michigan.

Morry Gash | AFP | Getty Images

Albert Bourla, CEO of Pfizer, said the company is negotiating with the federal government to provide an additional 100 million Covid-19 vaccine doses next year, as Americans will receive some of the first shots on Monday.

Pfizer and the US are working out timing details, Bourla said Monday morning in an interview with CNBC’s “Squawk Box”. The company could provide many of these cans in the third quarter of 2021, but the U.S. government is pushing for them in the second quarter, he said.

“We are working very cooperatively to find a solution and allocate that 100 million [doses] in the second quarter if possible or in many of them, “Bourla said, adding the company has not yet signed an agreement with the US.

The comment came after the Food and Drug Administration approved Pfizer and BioNTech’s emergency coronavirus vaccine late Friday. The vaccine has been approved for people aged 16 and over.

The first doses of a Pfizer vaccine with BioNTech were shipped to the US over the weekend. Trucks carrying boxes of vaccine doses left Pfizer’s Kalamazoo, Michigan manufacturing facility on Sunday and should arrive on Monday, according to Pfizer. The company said 189 boxes for a total of 184,275 cans will be shipped to locations in all 50 states and 4 boxes will be shipped to US territories. The vaccine consists of two doses, with the doses given three weeks apart.

Initial doses of the Pfizer vaccine will be limited as production begins. Officials predict it will be months before everyone in the US who wants to be vaccinated is vaccinated. The vaccine is expected to be distributed in phases where the most critical U.S. workers and vulnerable people receive it first. The CDC has given states an outline recommending that priority be given to health workers and nursing homes first. However, states may distribute the vaccine at their own discretion.

General Gustave Perna, who oversees logistics for Operation Warp Speed, said Wednesday the government would distribute 2.9 million doses of the vaccine within 24 hours of FDA approval, followed by another 2 , 9 million doses 21 days later for patients to get their second shot. Pfizer’s vaccine takes two doses three weeks apart.

Pfizer has already signed a contract with the U.S. government to supply 100 million doses of the vaccine under the Trump administration’s Operation Warp Speed ​​vaccine program, enough to vaccinate 50 million people. Under the agreement, the Americans will receive the vaccine for free.

The previous Monday, Pfizer board member Dr. Scott Gottlieb told CNBC that the US government turned down an offer to receive additional doses of the Pfizer vaccine in November.

The vaccine couldn’t come at a more crucial time. Hospitals in the U.S. already have higher numbers of Covid patients than ever before, and the country’s outbreak is poised to break even grimmer records. The director of the Centers for Disease Control and Prevention, Dr. Robert Redfield, warned earlier this month that the next few months of the pandemic would be “some of the most difficult in the history of this country’s public health.”

President Donald Trump previously said he would invoke the Defense Production Act if necessary to ensure Americans can get a vaccine.

Bourla said Monday it was “very positive,” he said. “I hope they will do that very soon as we are facing critical delivery restrictions on some components in particular. But I think they will, so it won’t be a problem.”

– CNBC’s Spencer Kimball contributed to this report.