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Health

Idaho Gov. Brad Little urges residents to get Covid vaccine

Idaho Gov. Brad Little on Friday called on the state’s residents to get vaccinated against Covid, citing concern about the delta variant and its potential to hinder economic progress.

“We’re just urging everybody to get vaccinated,” Little said on CNBC’s “The Exchange.”

Little said his biggest concern and “one of the most detrimental things” to the economy would be if children do not attend in-person school full-time in the fall and and parents stay home with them. “That will slow down the economy, so we want the vaccination rate to get up and protect our Idaho citizens,” said Little, a Republican who took office in 2019. He previously served as lieutenant governor.

Idaho has one of the lowest vaccination rates in the nation, with about 46% of residents ages 12 and up fully vaccinated and nearly 51% having at least one dose, according to the state’s public health division. Both figures lag the national rate.

For the U.S. overall, 58% of Americans ages 12 and up are fully vaccinated while 68% have had at least one dose, according to the Centers for Disease Control and Prevention. Half of the total American population is now fully vaccinated against Covid, a White House official tweeted Friday before the CDC posted the data on its website.

The number of daily cases is also on the rise in Idaho as the highly contagious delta variant ravages largely unvaccinated parts of the country. 

Little has refrained from imposing a statewide mask mandate, although a few counties and about a dozen cities in Idaho have issued local requirements in efforts to curb the spread of the virus. In late May, Little rescinded an executive order barring mask mandates that Lt. Gov. Janice McGeachin issued while he was away at a conference.

“I believe in empowering businesses and local government to do the right thing,” Little told CNBC. “We’re advocates of vaccination and doing whatever health protocols to keep the spread down, but we are very concerned about” the delta variant.

Little said he hopes more residents getting vaccinated demonstrates the benefits to those who are hesitant to get the shot. “Every day that goes by that more people are vaccinated and protected means that their neighbors, friends, family members are aware of that,” he said.

Despite the near-term Covid worries, Little said economic activity in Idaho remains strong. He noted that Idaho’s population is one of the fastest-growing in the U.S.

“We are concerned about the new variant and some more positivity rates, but we just got a great booming economy here right now,” he said.

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Politics

Biden blocks elimination of Hong Kong residents, cites China repression

United States President Joe Biden delivers a speech in the East Room of the White House in Washington, DC on July 29, 2021.

Anna Money Maker | Getty Images

President Joe Biden signed an order on Wednesday blocking the forced deportation of many Hong Kong residents from the United States for 18 months and giving them a “temporary safe haven” from ongoing Chinese repression in the region, the White House said.

The order allows Hong Kong residents whose U.S. visas have expired and who are otherwise legally removable to remain in the United States.

Biden on Wednesday also directed the Department of Homeland Security to legally work in the United States for Hong Kong residents subject to the order.

“With politically motivated arrests and trials, media silence, and the shrinking space for elections and democratic opposition, we will continue to take steps to support the people of Hong Kong,” White House press secretary Jen Psaki said in a written statement.

The order imposing memorandum signed by Biden also states that China has undermined “the enjoyment of rights and freedoms” in the Hong Kong Special Administrative Region, including those protected by the so-called Basic Law and the Sino-British Joint Declaration.

Since June 2020, when China unilaterally imposed its national security law on Hong Kong, police in the semi-autonomous region have detained at least 100 opposition politicians, activists and protesters on charges under the law, the memo said.

In addition, police arrested more than 10,000 people in connection with protests against the government.

China’s action came in response to the anti-government protests that began in Hong Kong in 2019.

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“There are compelling foreign policy reasons to postpone the forced exit of Hong Kong residents currently in the United States,” the memo said.

“The United States is committed to a foreign policy that combines our democratic values ​​with our foreign policy goals that focus on defending democracy and promoting human rights around the world,” the memo reads.

“Providing a safe haven for Hong Kong residents who have been deprived of their guaranteed freedoms in Hong Kong promotes US interests in the region.”

Biden’s order applies to Hong Kong residents currently in the United States, with certain exceptions.

These exceptions include those who cannot be admitted or deported to the United States under immigration law, those convicted of one or more offenses in the United States, and those whose presence is not in the interests of the United States

Senator Ben Sasse, the Republican from Nebraska who tabled a bill last year that automatically grants asylum to Hong Kong residents in the US, said Biden’s order was “a solid step, but we need to go further.”

“We must offer full asylum to Hong Kong people who are fleeing the brutal repression of Chairman Xi,” said Sasse, referring to the general secretary of the Chinese Communist Party, Xi Jingping.

“America must stand firmly behind the victims of communism and show the world that we will always stand up for freedom around the world.”

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Politics

Chinese language prosecutor, ex-NYPD cop charged with stalking U.S. residents

A Chinese soldier stands guard in front of Tiananmen Gate outside the Forbidden City in Beijing.

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A prosecutor from China, a former New York City Police Department detective sergeant and seven other people were indicted Thursday on charges related to a brazen campaign to stalk and harass U.S. residents in an effort to get one of them to return to China.

The new indictment alleges that the nine defendants acted at the direction of officials from the People’s Republic of China, in an effort known as “Operation Fox Hunt,” to repatriate the target from the United States.

The plan included threatening one of the two New Jersey residents who were targets of the campaign with harm to one of the target’s family if he did not return to China, where he purportedly was wanted by the government for accepting bribes.

The New Jersey residents’ adult daughter also was the target of stalking and harassment, the indictment says.

One of the defendants, Tu Lan, was employed as a prosecutor with the Hanyang People’s Procuratorate.

Lan “traveled to the United States, directed the harassment campaign and ordered a co-conspirator to destroy evidence to obstruct the criminal investigation,” according to a press release from the U.S. Attorney’s Office in Brooklyn, which is prosecuting the case.

Lan and another defendant, Zhai Yongqiang, were added to an existing prosecution of six others previously charged in the case.

One of those prior defendants is Michael McMahon, a Mahwah, New Jersey, resident and retired NYPD detective sergeant who had become a private investigator.

McMahon, 53, is accused of working with several other defendants in the case to gather intelligence about and locate two people, identified as John Doe #1 and Jane Doe #2, after earlier efforts to get them to return to China failed.

McMahon didn’t know he was acting on behalf of the Chinese government as he performed work as a private investigator, said his attorney Lawrence Lustberg.

“In fact, far from having conspired with anyone, or of having committed any crimes, Mike was himself a victim of the Chinese, who deceived and duped him and never told him that he was working for them, as opposed to for a construction company – which is what they said,” the attorney said. “Rather than accusing him, our government should have protected him.”

All the defendants are accused of acting and conspiring to act as illegal agents of China without prior notification to the U.S. attorney general, and with engaging in and conspiring in interstate and international stalking.

“Unregistered, roving agents of a foreign power are not permitted to engage in secret surveillance of U.S. residents on American soil, and their illegal conduct will be met with the full force of U.S. law,” said acting U.S. Attorney in Brooklyn Jacquelyn Kasulis.

The indictments were announced hours after ProPublica published an article about Operation Fox Hunt and its targeting of the individuals in New Jersey.

The news outlet noted that Operation Fox Hunt and a program called Operation Sky Net, which were both launched by China in 2014, “claim to have caught more than 8,000 international fugitives.”

“The targets are not murderers or drug lords, but Chinese public officials and businesspeople accused — justifiably and not — of financial crimes,” ProPublica wrote.

“Some of them have set up high-rolling lives overseas with lush mansions and millions in offshore accounts. But others are dissidents, whistleblowers or relatively minor figures swept up in provincial conflicts.”

ProPublica reported that McMahon is from a family of cops and firefighters, and during 14 years of service at the NYPD had won the department’s second-highest honor, the Police Combat Cross, and later retired on partial disability related to ailments from working at Ground Zero after the Sept. 11, 2001, attacks on the World Trade Center.

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The Chinese government in 2012 and 2014 caused the international police agency Interpol to issue so-called red notices for the Does, with the documents accusing John Doe of embezzlement, abuse of power and accepting bribes. Those charges carry a maximum possible sentence of death under Chinese law.

McMahon was hired by one of the defendants, Chinese government official Hu Ji in around September 2016, the indictment says, and later sent that Ji, information that included Jane Doe’s international travel details, and her daughter’s date of birth, Social Security number and banking information.

“After multiple months of investigative work” by McMahon, “the co-conspirators planned a specific rendition operation to stalk and repatriate John Doe #1 through psychological coercion,” the indictment said.

Prosecutors said that in April 2017, at the direction of Lan and Li, the elderly father of John Doe #1 was transported from China to the United States “to convey a threat to John Doe #1 that his family in the PRC would be harmed” with either imprisonment or the threat of that if he did not return to the PRC.”

“Tu Lan then traveled to the United States along with John Doe #1’s father and a medical doctor, Li Minjun,” prosecutors said in the press release. “While in the United States, Tu Lan directed several conspirators to surveil John Doe #1 and his family so the defendants would know where to bring John Doe #1’s father to deliver the demand that John Doe #1 return to the PRC.”

As part of that effort, the indictment says, McMahon performed surveillance around a house belonging to relatives of Doe.

In September 2018, prosecutors said, two of the defendants drove to the Does’ New Jersey residence and “pounded on the front door,” prosecutors said.

“The two defendants attempted to force open the door to the residence, then left a note at the residence that stated ‘If you are willing to go back to the mainland and spend 10 years in prison, your wife and children will be all right. That’s the end of this matter!'” prosecutors said.

Lan, Ji, and two other defendants in the new superseding indictment, Li Minjun, Yongqiang and Zhu Feng, remain at large, according to prosecutors.

Three other defendants, McMahon, Zheng Congying and Zhu Yong will be arraigned in Brooklyn federal court at a later date.

The name of the ninth defendant is under seal.

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World News

Taiwan Drought: Residents Pray for Rain and Scramble to Save Water

TAICHUNG, Taiwan — Lin Wei-Yi once gave little thought to the water sluicing through her shower nozzle, kitchen faucet and garden hose.

But as Taiwan’s worst drought in more than half a century has deepened in recent weeks, Ms. Lin, 55, has begun keeping buckets by the taps. She adopted a neighbor’s tip to flush the toilet five times with a single bucket of water by opening the tank and directly pouring it in. She stopped washing her car, which became so filthy that her children contort themselves to avoid rubbing against it.

The monthslong drought has nearly drained Taiwan’s major reservoirs, contributed to two severe electricity blackouts and forced officials to restrict the water supply. It has brought dramatic changes to the island’s landscape: The bottoms of several reservoirs and lakes have been warped into cracked, dusty expanses that resemble desert floors. And it has transformed how many of Taiwan’s 23.5 million residents use and think about water.

“We used too much water before,” Ms. Lin said this week in the central city of Taichung. “Now we have to adapt to a new normal.”

No typhoons made landfall in Taiwan last year, the first time since 1964. Tropical cyclones are a prime source of precipitation for the island’s reservoirs. Some scientists say the recent lack of typhoons is part of a decades-long pattern linked to global warming, in which the intensity of storms hitting Taiwan has increased but their annual frequency has decreased.

Ordinary rainfall has also been drastically lower than normal this year, particularly in the central region that includes Taichung, a city of 2.8 million people and the second-largest on the island. The water shortage could begin to ease this weekend if heavy rains arrive on Saturday, as some forecasters predict. But as of Friday, the water levels at two main reservoirs that supply Taichung and other central cities were hovering between 1 percent and 2 percent of normal capacity.

In a few cases, the usual residents of the island’s lakes and reservoirs — fish — were replaced by other species: tourists and social media influencers taking pictures of the visually startling terrain for Instagram posts. In one of the most photogenic locations, Sun Moon Lake, a reservoir in central Taiwan, the receding waterline has revealed tombstones that historians say may date to the Qing dynasty.

“It’s been meltingly hot in Taichung for a while now,” said Huang Ting-Hsiang, 27, a chef who works out of his home and stopped cooking last month for lack of water. “The images of the dangerously low levels at those reservoirs are scary, but there’s nothing we can do.”

To fight the drought, the government has been drawing water from wells and seawater desalination plants, flying planes and burning chemicals to seed clouds above reservoirs, and halting irrigation over an area of farmland nearly the size of New York City.

It has also severely restricted residential water deliveries. In Taichung and other hard-hit cities, the taps have been cut off for two days a week since early April. Some residents have low water pressure even on the other days. Officials have said the curbs will become more severe, starting on Tuesday, if the heavy rainfall that is expected over the weekend does not materialize.

Lo Shang-Lien, a professor at the Graduate Institute of Environmental Engineering at National Taiwan University, said that the current restrictions were necessary in part because people on the island tend to use a lot of water.

In Taichung, the daily rate of domestic consumption per person is 283 liters, or nearly 75 gallons, according to government data from 2019. In Taipei, the capital, it is 332 liters per day. By contrast, average residential water consumption in Europe is about 144 liters per person per day and 310 liters in the United States, according to official estimates.

Professor Lo said that Taiwan’s water usage was relatively high in part because its water prices — some of the lowest in Asia, according to Fitch Ratings — incentivize excess consumption. “Given all the extreme climatic events of recent years, water policies have become something that we need to reconsider and replan,” he said.

Raising those prices would be politically sensitive, though, and a spokesperson for the Water Resources Agency said that the government had no immediate plans to do so.

For now, many people in Taiwan are watching the skies and praying for rain.

In one sign of the public mood, more than 8,000 social media users tuned in to a recent government livestream of an hourlong afternoon thunderstorm at a reservoir in northern Taiwan. A bubble tea shop in the northern city of Taoyuan said that it would stop serving ice with drinks until the water restrictions were lifted. And in Taichung, irrigation officials held a rain-worshiping ceremony at a temple — the first such event there since 1963 and only the fourth since the temple was built, in 1730.

Ms. Lin, who stopped washing her car, cleans dishes in an assembly line of metal pots with dishwater that she arranges from dirtiest to cleanest.

“I still need to wash whatever I need to wash,” she said, “but now every drop needs to be used twice.”

For the first few weeks of the rationing, some people looked for ways to escape life without running water. Ms. Lin went sightseeing in the eastern city of Hualien and visited one of her daughters in Taipei. Others went bathing in hot springs.

Lin Ching-tan, who owns the Kylin Peak Hotspring resort in Taichung, said that he had lowered the admission price by half, to about $5, as a humanitarian gesture. He also started bathing at work before going home in the evenings.

“If you don’t have water to take a shower, it can be torture,” he said.

But as the government restricts movement in an effort to fight Taiwan’s most severe coronavirus outbreak since the start of the pandemic, more of the island’s residents are stuck at home, looking for creative ways to make scarce water supplies last longer. On Facebook and other social media platforms, people have been sharing water-saving tips, including how to flush toilets more efficiently or install a second rooftop water tank.

Mr. Huang, the chef, said that he and his family have a system for storing water in buckets, pots and tanks before their taps run dry every Tuesday and Wednesday. They also try to order takeout so that they won’t have to use water for cooking, he added, although their favorite restaurants and food stalls sometimes close for the same reason.

Ms. Lin’s system includes placing a plastic container under her feet while showering, then flushing the toilet with it.

This week, on her balcony, she poured used kitchen water over some flowers but left others to wilt. “There’s no turning back from extreme weather,” she said. “Developing good habits for saving water is probably just a rehearsal for frequent droughts of the future.”

Amy Chang Chien reported from Taichung, Taiwan, and Mike Ives from Hong Kong.

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Business

UK reveals inexperienced listing of countries England residents can go to quarantine-free

A traveler leaves a test center at Heathrow Airport in London on January 17, 2021.

Hollie Adams | Getty Images News | Getty Images

LONDON – UK Transport Secretary Grant Shapps announced on Friday the ‘green list’ of countries UK residents will soon be able to visit without being quarantined on their return.

Travel was severely restricted during the heaviest months of a second wave of the coronavirus pandemic. However, as of May 17th, people in England will be allowed to visit certain countries, although some restrictions still apply.

Twelve countries will be on England’s so-called “green list”. Travelers to these countries must be tested prior to departure and upon their return. However, they do not need to be quarantined on their return.

The 12 countries are:

Portugal

Israel

Gibraltar

Australia

New Zealand

Singapore

Brunei

Iceland

Faroe Islands

Falkland Islands

South Georgia and the South Sandwich Islands

St. Helena, Tristan de Cunha, Ascension Island

Outside of these 12, other nations have been divided into “amber” and “red” lists – the latter requiring the strictest of measures. Turkey was a notable name that was added to the Red List on Friday.

Popular destinations for the British such as France and Spain were not yet put on the green list at this point. Shapps said at a press conference on Friday that countries on the green list can have their status withdrawn at any time.

Scotland, Wales and Northern Ireland will separately announce their own travel restrictions for their residents.

British travelers are also exposed to travel restrictions in other countries, such as Australia and the United States.

U.S. and European airlines, as well as a multitude of travel companies grappling with a slump in international travel, urged their governments this week to relax the travel rules that are currently preventing most Britons from entering the country an increase in vaccination rates in their respective countries.

“We continue to encourage the US to implement a two-way policy that allows fully vaccinated travelers to travel to the US from countries with similarly successful vaccination programs,” said Airlines for America, a trade group that promotes most of the US major Airlines, including American, represents, Delta and United.

Airline executives have expressed doubts about restoring most US-Europe travel this summer, with restrictions still in place, but have been more optimistic about the possibility of re-opening UK-US travel.

American airlines have announced new flights to some destinations that have opened or are planned, such as Greece, Iceland and Croatia, in the past few weeks.

– CNBC’s Leslie Josephs contributed to coverage from New York.

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Health

Covid circumstances overwhelm Michigan well being system, Gov. Whitmer urges residents to remain dwelling

In this file photo dated February 24, 2021, provided by Michigan Governor’s Office, Governor Gretchen Whitmer, the state is addressing during a speech in Lansing, Michigan. Governor Whitmer signed at least $ 2.5 billion in COVID-19 relief spending Tuesday. March 9, 2021, while she vetoed $ 650 million after the Michigan Republicans failed to negotiate with her and tied other aids to laws that would have curtailed her government’s power to impose pandemic restrictions.

Michigan Governor’s Office via AP

Michigan governor Gretchen Whitmer has urged high schools to temporarily suspend face-to-face learning and residents to limit their activities as a surge in Covid-19 cases overwhelms the state’s public health system.

The governor also urged schools to voluntarily suspend youth sports games and practices, and residents to avoid in-person meals for the next two weeks.

“To be very clear, it is not about orders, mandates or requirements,” said Whitmer at a press conference on Friday. “A year later we all know what works and it has to be a team effort. We have to do this together. Life depends on it.”

Covid-19 infections have spiked across the state in recent weeks, approaching the state’s November pandemic high of 7,226 new cases a day averaging over the past week – a 23% increase from the previous week, according to data compiled by Johns Hopkins University.

The state health department is currently tracking 991 Covid outbreaks across Michigan, said the state’s chief medical executive Dr. Joneigh Khaldun, at the press conference.

“Because we see so many cases each day, our public health system is overwhelmed. We cannot get information on many cases, nor identify their close contacts. We don’t know where all cases or outbreaks are, and what we know is likely one Counting, “said Khaldun.

Whitmer and Khaldun urged all Michiganders to wear masks, maintain social distance, wash their hands, stay home and get vaccinated.

The rise in the coronavirus in Michigan is due to the fact that the highly infectious variant B.1.1.7, identified for the first time in Great Britain, has become the most common Covid strain in the USA

There were 291 outbreaks in the state between January and March that came from youth sports teams alone and that involved at least 1,091 people, Khaldun said.

“The numbers show that young people are not impervious to this virus as we’ve seen many cases in teenagers and young adult Michiganders,” Whitmer said.

State health officials recorded 58 outbreaks in restaurants and retail stores in the past week alone, Khaldun said.

“Just because something is open doesn’t mean it’s safe or that you should,” Khaldun said. “Indoor dining is one of the riskiest things to do in this pandemic.”

Whitmer also called on the federal government to develop a vaccination program to use Covid-19 vaccine doses at hotspots.

“Today it’s Michigan and the Midwest, tomorrow it could be another part of our country,” said Whitmer.

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Health

Hong Kong residents to be provided vaccines by finish 2021: Well being secretary

The Hong Kong Minister of Health is confident that Covid vaccines will be offered to all residents by the end of 2021.

The city has signed agreements to get more than enough doses for its population, Hong Kong Minister for Food and Health Sophia Chan told CNBC’s Capital Connection on Tuesday.

When asked when Hong Kong could achieve herd immunity, Chan replied that authorities are still assessing the vaccination response and are sticking to the supply-procurement plan. She did not provide a schedule for when the city could achieve herd immunity, a situation where enough people in the population have become immune to a disease that it is effectively no longer spreading.

“We’re pretty confident that by the end of the year … everyone in Hong Kong will have the opportunity to get vaccinated,” she said.

Chan added that more than 22 million doses of Covid vaccines have been ordered.

Hong Kong has a population of around 7.5 million and started its vaccination campaign at the end of February. The company has signed contracts to purchase vaccines from Sinovac Biotech in China, Oxford-AstraZeneca in Europe, and Fosun Pharma from Shanghai and its partner, German drug manufacturer BioNTech.

Customers buy fresh vegetables from a street market store in Hong Kong on March 8, 2021.

Anthony Wallace | AFP | Getty Images

Chan said people seem “pretty excited” about the vaccine, but admitted that they are still phasing it out and that it is not yet available to the general population.

She also said experts are reviewing the causes of adverse events, including at least two deaths after vaccination.

“Our scientific committee initially provided the information that it had nothing to do with the vaccination. That is, they found no direct causation with the vaccination,” she said.

Separately, Chan considered when Hong Kong would relax its coronavirus restrictions, saying the city authorities would be “very careful” on this.

She said the situation remains “a bit unstable” because unlinked cases are still being reported even though new cases are low.

“We really want to contain … and cut the chains of transmission in a community because we don’t want clusters to come out,” she said.

According to the local health authority, Hong Kong reported 21 new cases on Tuesday, bringing the total number of infections to at least 11,121.

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World News

Alaska Is First State to Supply Vaccines to All Residents 16 and Over

Anyone 16 or older who live or work in Alaska is now eligible for the vaccine, Governor Mike Dunleavy said Tuesday evening. This makes it the first state to grant all residents access to the vaccine.

Alaska has 16 percent of its population fully vaccinated, the highest in the country, according to a New York Times database.

“If Alaskans had any questions about vaccine eligibility and criteria, I hope today’s announcement clears that up for you,” said Adam Crum, commissioner for the state Department of Health. “Simply put, you are eligible to receive the vaccine.”

Mr Dunleavy encouraged all “Alaskans who are considering” to get vaccinated, adding that the vaccine “now gives us an opportunity in Alaska to outperform other states.”

The Alaska announcement came as other states are rapidly expanding access to vaccines. New York and Minnesota announced Tuesday that they would allow large swaths of their populations to do so.

The pace of vaccination in the United States has continued to accelerate. About 2.15 million doses are administered daily, according to a New York Times database. The Centers for Disease Control and Prevention announced Tuesday that about 61.1 million people had received at least one dose of a Covid-19 vaccine, including about 32.1 million people completely using Johnson’s single-dose vaccine & Johnson or the two-dose vaccination series from Pfizer-BioNTech and Moderna.

Some parts of Alaska have reached 90 percent vaccination rates among seniors, the governor said in a statement. In the Nome Census Area, over 60 percent of residents aged 16 and over received at least one shot.

“We want to get our economy up and running again. We want to get our society up and running again, ”said Dunleavy. “We want to leave this virus behind us – as far as possible, as quickly as possible.”

The Pfizer vaccine is available to people aged 16 and over in Alaska, while Johnson & Johnson and Moderna vaccines are available to people aged 18 years and over.

New York Governor Andrew M. Cuomo said Tuesday that his state would lower the age threshold for Covid-19 vaccine approval starting Wednesday so that anyone over the age of 60 can be vaccinated.

New York State will also open vaccination ratings next week for large numbers of publicly available workers, including government employees, nonprofits and essential building services workers. These people can start vaccinating on March 17th.

New York will join a handful of other US states in allowing vaccinations for anyone over 60. The majority have set their minimum age for admission to 65 years.

During a performance in Syracuse, Mr. Cuomo pointed to the expected increase in the offer of the federal government as a reason for the expansion of the vaccine authorization.

Workers who can be vaccinated next week include civil servants, social workers and social workers, government inspectors, plumbing workers, election workers, Department of Motor Vehicles and county clerks.

According to Cuomo, appointments for people over 60 will be opened from Wednesday at 8 a.m. People over 65 were able to qualify for a vaccine in January.

Elsewhere, Minnesota Governor Tim Walz announced Tuesday that the state would extend eligibility to more than 1.8 million Minnesotans this week, including key workers in industries such as food services and public transportation, and those 45 and older with at least one underlying medical condition . The announcement is “weeks ahead of schedule,” the governor said in a statement, as the state aims to meet its goal of vaccinating 70 percent of Minnesotans 65 and older this week.

Ohio residents aged 50 and over and people with certain conditions that were not yet eligible can get a vaccine this week, Governor Mike DeWine announced on Monday.

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Health

Excessive Turnover at Nursing Properties Threatens Residents’ Care

Exceptionally high turnover among nursing home workers likely contributed to the shocking number of deaths in facilities during the pandemic, the authors of a new study suggested.

The study, published Monday in Health Affairs, a health policy journal, provides a comprehensive overview of turnover rates in 15,645 nursing homes across the country, taking into account nearly all federal government certified facilities. The researchers found that the average annual rate was 128 percent, with some facilities having sales in excess of 300 percent.

“It was really breathtaking,” said David Grabowski, professor of health policy at Harvard Medical School and one of the study’s authors. Researchers pointed to the results to urge Medicare to publish staff turnover rates at individual locations in nursing homes to highlight substandard conditions and pressure owners to make improvements.

Inadequate staffing – and low wages – have long plagued nursing homes and the quality of care for the more than one million residents who live in these facilities. However, the pandemic has exposed these issues even more sharply. Investigations are ongoing by some states to monitor the facilities as cases in Covid are uncontrolled and deaths have skyrocketed.

The high turnover rate likely made it harder for nursing homes to conduct strong infection controls during the pandemic and led to widespread spread of the coronavirus, said Ashvin Gandhi, lead author and health economist and assistant professor at the University of California Los Angeles Anderson School of Management.

Nursing home owners blame Medicaid, the state’s program for the care of the skilled elderly, for the inadequate reimbursement.

“Recruiting and retaining workers is one of the most pressing challenges facing long-term carers and we have been calling for help for years,” said Dr. David Gifford, chief medical officer of the American Health Care Association and the National Center for Assisted Living Trading Group, said in an email statement.

“It is high time providers were given the right resources to invest in our frontline caregivers to improve the quality of care,” he said.

At least 172,000 deaths from the virus had been reported among residents or employees of nursing homes and other long-term care facilities by the end of February, according to a database compiled by the New York Times. The death toll in nursing homes alone has caused more than a third of all Covid deaths in the United States, although mortality and case rates have fallen sharply as more than 70 percent of residents have received vaccinations.

Industry criticism has also centered on the decade-long ownership of nursing homes by private equity and other private investment firms, where profits for investors took precedence over residents’ welfare. These owners have long been accused of under-staffing their facilities and underpaid workers.

Updated

March 1, 2021, 9:49 p.m. ET

Labor is one of the primary costs of running a nursing home, said Dr. Gandhi. “It’s generally not a very high-margin industry,” he said. “Any institution trying to maximize its profits will think carefully about its staffing costs.”

Nursing home staff have also shown resistance to being vaccinated against the coronavirus, making it difficult for public health officials and nursing homes to provide comprehensive vaccination coverage for a single facility. If a vaccinated nurse leaves the hospital and is replaced, the facility must ensure that the new employee is vaccinated as well, especially given the reluctance of some workers to receive a coronavirus shot.

“Trying to get a single shot is not enough,” said Dr. Gandhi. “You need continuous vaccination work.”

Registered nurses, who are the most skilled workers, had the highest turnover rates, and turnover varied widely across institutions. The states with the highest rates included Oklahoma, Montana, and Kansas. Facilities with low star ratings on the Medicare website that compared nursing homes had the highest average sales and nursing homes with high ratings had the lowest sales. Revenue was also higher at for-profit organizations owned by chains that serve Medicaid beneficiaries, according to the study.

Melissa Unger, the executive director of SEIU 503, a division of the Service Employees International Union in Oregon, said nurses have difficulty working in facilities with too few employees to adequately care for residents.

“You don’t feel good about the work you do,” said Ms. Unger, noting that many of the employees are women and people of color. “They’re doing all of this for shitty benefits and low wages.”

Summer Trosko, a union member who works at a nursing home in Oregon, said she was used to colleagues leaving burnout because of under-staffing and lack of funds. “You get tired and just can’t take it anymore and stop,” she said. Many are being replaced with people who have just graduated from high school with little education, she said.

In addition to making turnover rates available to the public, the authors point out a number of steps lawmakers could take to improve retention. Medicare could include sales in its star rating system, and Medicare and Medicaid could reward nursing homes with higher rates when they had lower sales. “If we want to change nursing homes, we have to start with the staff,” said Dr. Grabowski.

Researchers used newly available payroll-based data collected by the Centers for Medicare and Medicaid Services for Registered Nurses, Licensed Practical Nurses, and Certified Nursing Aides to calculate turnover rates in 2017 and 2018. They looked at the percentage of hours a care worker worked in a given year and calculated higher rates if the person who left the company had done more care.

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Health

CDC examine finds nursing dwelling residents have been reinfected with worse case of Covid

A general overview of the Centers for Disease Control and Prevention (CDC) headquarters in Atlanta.

Tami Chappell | Reuters

A new CDC study found that some elderly people who appeared to have recovered from the coronavirus later had a second, even worse case – suggesting that asymptomatic or mild cases may not offer much protection against re-infection with Covid- 19 offer.

The study, published Thursday in the Centers for Disease Control and Prevention’s Weekly Report on Morbidity and Mortality, looked at two separate outbreaks that occurred three months apart in a qualified care facility in Kentucky. According to the study, 20 residents and five health care workers tested positive for the virus between mid-July and mid-August.

The second outbreak, between late October and early December, was worse: 85 residents and 43 healthcare workers tested positive for the virus. Among residents who tested positive during the first outbreak and were still living at the facility, five tested positive a second time more than 90 days after their first positive test.

Although Covid-19 reinfections do occur, they are generally rare.

Through frequent monitoring after the initial outbreak, all five residents had at least four negative tests between outbreaks, suggesting that they may have been re-infected with the virus later. Reinfection means that a person who had Covid-19 recovered and then got it again, according to the CDC.

“The history of exposure, including when the roommate infections occurred and symptoms recurred during the second outbreak, suggests that the second positive RT-PCR results represented new infections after the patients appeared to clear the first infection,” wrote Alyson Cavanaugh , one of the researchers who led the study.

While only two of the five residents showed mild symptoms during the first outbreak, all five potentially reinfected residents showed signs of illness the second time. The two residents who reported symptoms during the first outbreak “experienced more severe symptoms during the second infectious episode, according to the study.” One resident was hospitalized and subsequently died.

According to the study’s researchers, this was “noteworthy” as it suggests the possibility that people who show mild to no symptoms when they first become infected are “not creating a sufficiently robust immune response to prevent re-infection”. The results “suggest the possibility that the disease may be more severe during a second infection.”

“The results of this study underscore the importance of maintaining public health mitigation and protection strategies that reduce the risk of transmission, even in those with a history of COVID-19 infection,” wrote Cavanaugh.

Some limitations were noted in the study. Because the samples were not stored, the researchers were unable to perform genome sequencing, a laboratory technique that breaks down the virus’ genetic code to confirm re-infection. “There are no additional test results to prove the initial test result is really positive,” they said during the initial outbreak.

It is believed that the risk of re-infection for the general population is still low, but nursing home residents may be particularly at risk due to their coexistence and high number of exposures, according to the study.

“Qualified care facilities should employ strategies to reduce the risk of SARS-CoV-2 transmission in all residents, including those previously diagnosed with COVID-19,” Cavanaugh wrote.