Categories
Politics

Biden to Go to Northeast Flood Zones as Demand Grows for Local weather Motion

As residents sought to clean up and assess the damage caused by catastrophic flash floods in the northeast last week, President Biden prepared to visit the hardest-hit areas of New York and New Jersey where he faced political ferment that is about the climate-related disaster.

The deadly flood from the remnants of Hurricane Ida, which killed more than 45 people in New York, New Jersey, Pennsylvania and Connecticut, has fueled the fighting that began with Hurricane Sandy in 2012 to slow climate change and protect the population Communities tightened. The floods are already sharpening the debate about whether city and country leaders are doing enough – even those who, like Mr Biden, are publicly advocating strong action.

Mr Biden’s trip comes as he and the Democratic leaders struggle to get Congress to incorporate measures to curb planet warming emissions into a $ 1 trillion infrastructure bill and funds to protect communities from disasters increase like last week.

Within hours of the downpours in the New York area, Mr. Biden had linked it directly to his climate agenda. In a speech he described the floods as “another reminder that these extreme storms and the climate crisis are here” and called for more spending on modernizing power grids, sewers, water systems, bridges and roads.

But some climate groups are blaming his government for including large new funds for building and upgrading highways in the measure.

In New York and New Jersey, advocates of stricter climate action are hoping the disaster will give new impetus to ambitious state and local climate laws and regulations and help counter opposition to even broader proposals like a city council bill banning gas heaters and stoves in all new buildings.

Kathy Hochul, the governor of New York, and Bill de Blasio, the mayor of New York, pledged to step up the fight on climate change as state and city agencies stepped up to help residents apply for assistance and file insurance claims close. However, some residents still complained that days after the flood there had not been an officer in their block.

Ms. Hochul said on Twitter on Sunday that she got 378 million back. “

Senator Chuck Schumer, a New York Democrat and majority leader, said he would use the moment to add more extreme weather protection to the budget and pledged to support the state’s call for Washington to speed up damage assessments and federal aid. But some New York City residents pressed for more.

Dozens of protesters waved life jackets – each representing a New Yorker killed in the flood – outside Schumer’s Brooklyn home on Saturday, calling on him to come up with a $ 1.43 trillion proposal for a “Green New Deal” for public schools to support.

Climate and environmental justice groups said they would also protest against Mr Biden. Their message: The deaths – at least 13 in New York City and at least 27 in New Jersey – show that government action has been too hesitant to curb both the burning of oil and gas, which is driving climate change, and the Protecting people from the effects of climate change storms, fires and heat waves, which become more frequent and intense as the planet warms up.

Rachel Rivera, a resident of the Brownsville neighborhood of Brooklyn who campaigned against a new gas pipeline there, said she wanted to urge not only Mr. Biden but also local officials to “stop both the pollution that is causing all of this” also to start financing the work ”. to get us to safety. “

Extreme weather

Updated

9/3/2021, 2:38 p.m. ET

“It’s neither one nor the other,” she said. “It’s both. In every storm they talk big, but then they do nothing.”

Ms. Rivera joined New York Communities for Change, a group working on environmental and public housing issues after her roof collapsed during Hurricane Sandy. She said her teenage daughter still suffers from traumatic flashbacks when it rains.

Mr. Biden will visit the New York borough of Queens, home to the majority of New York City residents who were killed in the floods last week. Most of them drowned when rainwater poured into basement apartments that violated housing codes.

The president will also visit Manville, NJ, which recorded 10 inches of rain in the downpour on Wednesday, forcing the city to rescue residents by helicopter and boat.

Both New York and New Jersey were devastated by Hurricane Sandy nearly nine years ago, sparking new policies and grassroots movements to combat climate change. Ambitious infrastructure plans for renewable energy development and coastal protection such as levees and dune restoration have been drawn up. Public pension funds began divesting fossil fuel companies and passed laws drastically reducing greenhouse gas emissions.

But many of these projects remain unfinished, and more far-reaching proposals have not made it into law. Proponents of more ambitious ideas like the city’s bill to ban gas appliances in new homes are now mobilizing for a new boost.

This includes a growing number of local lawmakers, chosen on promises to adopt bold measures to curb carbon emissions and address issues and inequalities that have been allowed – in housing, transport, disaster preparedness and other areas – and the extreme weather conditions cause more deadly.

Small issues that may not have been noticed before the flood are already attracting new attention. A protest against Jenifer Rajkumar, a state lawmaker, was planned for Monday in Queens over a proposed parking space she supports in Forest Park, one of the largest green spaces in the district.

The official response to the recent disaster did not begin until Sunday. The police went door to door looking for people who were still missing. State authorities are setting up command centers in flooded areas to help people get information and assistance. The New York Sanitation Department collected storm debris and said it would reverse a plan for garbage collectors to suspend Labor Day.

On the Rockaway Peninsula in Queens, Linda Bowman, another member of the New York Communities for Change, had to contend with a flood for the second time; her house had also been flooded during Sandy.

“I need help,” she said. “Don’t just talk.”

Categories
Politics

Vice President Kamala Harris to go to Vietnam and Singapore amid tensions with China

U.S. Vice President Kamala Harris waves as she boards Air Force Two June 14, 2021 in Joint Base Andrews, Maryland.

Alex Wong | Getty Images

Vice President Kamala Harris will travel to Singapore and Vietnam next month to strengthen the U.S.’s relationship and economic ties with the Indo-Pacific region, the White House said in a statement on Friday. 

Harris will be the first U.S. vice president to visit Vietnam, and the highest-ranking official from the Biden administration to visit the Indo-Pacific, and Asia overall. Indo-Pacific refers to the region that lies between the Indian and Pacific Oceans, bordered by Japan, India and Australia.

The visit comes as the administration works to fortify regional ties with Southeast Asian nations, while pushing back on China’s influence in the region and globally. 

“President [Joe] Biden and Vice President Harris have made it a top priority to rebuild our global partnerships and keep our nation secure, and this upcoming visit continues that work — deepening our engagement in Southeast Asia,” Symone Sanders, senior advisor and chief spokesperson for Harris, said in the White House statement.

The White House did not provide details on the dates of the trip. It will also serve as Harris’ second international trip in office after she visited Guatemala and Mexico in June as part of her diplomatic efforts to address the root causes of migration to the U.S. 

Harris will meet with the leaders of Singapore and Vietnam to discuss regional security, climate change and the coronavirus pandemic, according to the White House. She will also discuss joint efforts with the leaders to “promote a rules-based international order.”

The announcement also comes just days after Defense Secretary Lloyd Austin’s own trip to Singapore, the Philippines and Vietnam, which focused on offering support to Southeast Asia nations as territorial rifts with China unfold. 

The vice president’s visit affirms the strength of the relationship between the U.S. and Singapore, according to a statement released on Friday by the press secretary to Singapore Prime Minister Lee Hsien Loong, the Business Times reported. 

Harris will meet with Singapore leaders to discuss ways to cooperate in areas such as defense, digital trade and cyber security, according to the Business Times. 

“I am delighted to welcome Vice-President Harris on her first official visit to Singapore,” the statement said, according to Business Times. “I look forward to our discussions on strengthening bilateral cooperation and working together on global challenges such as the Covid-19 pandemic and climate change.”

Categories
Health

Novartis CEO says Covid-related physician go to delays seemingly impacting most cancers analysis charges

The health-care system is still seeing lower rates of diagnoses for certain conditions after the coronavirus pandemic kept non-Covid patients away from the hospital early on, Novartis CEO Vasant Narasimhan told CNBC on Wednesday.

“I think the signals that were sent that ultimately asked patients to stay away from the emergency room, stay away from hospitals, sent a very powerful message to patients not to get the care that they needed,” Narasimhan said on “Closing Bell.” “It may have been appropriate given the public health emergency, but over time what that does is it creates a significant need for better treatments for these patients.”

Narasimhan, who joined Novartis in 2005, said that while trends are positive, lower rates of diagnoses in areas such as cardiovascular disease and oncology remain. For the latter, he said diagnoses are still 30% to 40% lower than pre-Covid-19 levels. Novartis makes cancer treatments.

Nearly 1 in 3 Americans between the ages of 50 and 80 delayed an in-person medical visit last year due to worries about exposure to Covid, according to a poll from the National Poll on Healthy Aging based at the University of Michigan Institute for Healthcare Policy and Innovation. The poll, taken in January, found that 24% of people with cancer and 30% of people with heart conditions had delayed at least one in-person visit.

“Cancer patients that are diagnosed later tend to have worse outcomes, similarly for cardiovascular disease patients that don’t get the therapies that they need,” Narasimhan said. “That in turn creates more burden on the health-care systems over time.”

As Covid cases increase in the U.S. and around the world due to the highly transmissible delta variant, Narasimhan hopes lessons from the early stages of the health crisis have been learned. “I think it’s critical now, this time around, we ensure patients can maintain their care even as the pandemic ebbs and flows over the coming months,” he said.

“We remain optimistic that even as we go through various waves of Covid that the health-care systems have learned that we need to maintain care for noncommunicable diseases, other chronic diseases,” he added.” “Otherwise in effect we create another epidemic, a syndemic so to speak, of these other diseases.”

On Wednesday, Novartis beat analyst expectations for second-quarter revenue and earnings. Narasimhan said the Swiss drugmaker witnessed a resurgence in demand across many therapeutic areas, and noted the company had 9% growth in sales and 13% growth in operating income. 

Novartis is currently involved in manufacturing the Pfizer-BioNTech Covid vaccines, and is assisting CureVac in making vaccines, as well. Novartis also produces monoclonal antibodies to treat Covid for partner companies,” Narasimhan said. “We’re doing a lot, but also ready to do more if needed.”

Categories
Health

UnitedHealthcare Might Deny Emergency Go to Protection

“Unnecessary use of the emergency room costs nearly $32 billion annually, driving up health care costs for everyone,” the company said in a statement on Monday. “We are taking steps to make care more affordable, encouraging people who do not have a health care emergency to seek treatment in a more appropriate setting, such as an urgent care center. If one of our members does receive care in an emergency room for a t issue, like pink eye, we will reimburse the emergency facility according to the member’s benefit plan.”

During the pandemic and for months of lockdown, non-Covid care, ranging from knee surgeries to mammograms to emergency room visits, fell. While some experts worried that the lack of care would cause patients’ conditions to worsen, others argued the drop off might provide evidence that some care, like screenings, was unnecessary.

United’s initial decision was viewed by some critics as a message directed at hospitals.

“They see this as a way to get the upper hand in their perpetual battle with providers,” said Jonathan Kolstad, a health economist at the University of California, Berkeley.

It was the latest example of the insurer clashing with doctors and hospitals, said Michael R. Turpin, a former United executive who is now an executive vice president at USI, an insurance brokerage that helps businesses find coverage. Most recently, United’s sparring with anesthesiologists resulted in lawsuits from a sizable physician-owned practice backed by private-equity investors, and the hospitals complain that United has adopted other policies that make it difficult for patients to get their care covered.

A few consumers are already battling insurers and some providers over billing for Covid vaccines, prompting the federal government to remind the participants that it is illegal to bill patients for those costs.

There is also increasing evidence that some of the people who didn’t go to emergency rooms during the pandemic would have been better off seeking care. Experts pointed to the increase in death rates from heart disease, diabetes and other illnesses that could indicate people were putting off necessary care. A recent study in Health Affairs by researchers from the M.I.T. Sloan School of Management, working with Boston Emergency Medical Services, found evidence of an increase in heart attacks that had occurred out of the hospital, particularly in low-income neighborhoods.

Mr. Pollack noted that even post-pandemic, such a policy would be problematic: “There is no justification for these restrictions now or after the public health emergency,” he said.

Categories
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.

Categories
Politics

Biden to go to Belgium, UK in first abroad journey as president

President Joe Biden waves as he boards Air Force One before leaving Andrews Air Force Base, Maryland on February 5, 2021.

Almond Ngan | AFP | Getty Images

President Joe Biden will make his first overseas tour as President in June when he visits the UK and Belgium for important meetings with allied nations, the White House said Friday.

This news comes amid Biden’s virtual climate summit with world leaders as he advocates reducing greenhouse gas emissions. On Thursday, Biden pledged to cut US emissions by at least 50% by 2030.

The Biden administration has announced that it will reset ties with various allies after President Donald Trump’s often turbulent relations with other nations. Trump criticized other NATO nations, saying they were not paying their fair share of defense spending.

Biden will begin his journey at the G7 summit in Cornwall, UK, where he will also hold bilateral meetings with leaders such as UK Prime Minister Boris Johnson. This summit will take place from June 11th to 13th.

CNBC policy

Read more about CNBC’s political coverage:

The president will work to “advance major US political priorities on public health, economic recovery and climate change, and to demonstrate solidarity and shared values ​​among major democracies,” the White House statement said.

Biden will then travel to Brussels to attend NATO and US-EU meetings, where he will continue to advance American interests. The NATO meeting is scheduled for June 14th.

One topic for the NATO discussion could be the recent escalation of the Russian troop presence on the border with Ukraine to its highest level since 2014. However, Russia on Thursday ordered these troops to return to their home bases after a so-called “rapid inspection”.

Another possible point of discussion could be the withdrawal of NATO forces from Afghanistan, where the alliance’s non-combat Resolute Support Mission has been helping Afghan troops since 2015.

White House press secretary Jen Psaki said more details about Biden’s trip would come, “including potential additional items”.

Categories
Health

Biden Cancels Go to to Vaccine Maker After Instances Report on Its Techniques

WASHINGTON – President Biden on Monday canceled a visit to a coronavirus vaccine facility operated by Emergent BioSolutions, and his spokeswoman announced that the administration would conduct an audit of the Strategic National Stockpile, the country’s emergency medical reserve.

Both measures came after a New York Times investigation into how the company gained oversized influence on the repository.

Instead of visiting Emergent’s Baltimore facility on Wednesday, the President will call a meeting at the White House with executives from pharmaceutical giants Merck & Co. and Johnson & Johnson, who should also attend the meeting in Baltimore. Merck and Emergent each work separately with Johnson & Johnson to manufacture the company’s coronavirus vaccine.

“We just felt it was a more suitable place to meet,” White House press secretary Jen Psaki told reporters.

Emergent has signed more than $ 600 million in contracts with the federal government to manufacture coronavirus vaccines and expand its fill-and-finish capacity to complete the vaccine and therapeutic manufacturing process. A senior administration official said only executives from Merck and Johnson & Johnson would attend the White House meeting on Wednesday.

An emergent spokeswoman did not immediately respond to questions about the cancellation on Monday. The spokeswoman, Nina DeLorenzo, had previously defended the company’s dealings with the government in written responses to questions, saying, “If almost no one else invested in preparation to protect the American public from serious threats, Emergent has done so, and the country is better prepared for it today. “

The Times investigation focused on the supply, which became notorious during the coronavirus pandemic for its lack of critical supplies such as N95 masks and other personal protective equipment.

When asked about the Times article during the White House press briefing on Monday, Ms. Psaki said, “The administration will conduct a comprehensive review and review of national inventory levels.”

Decisions about how to spend the repository’s limited budget should be based on careful assessments by government officials on how best to save lives. The Times noted, however, that it was largely driven by the needs and financial interests of a handful of biotech companies specializing in products that target terrorist threats rather than infectious diseases.

Chief among them is Emergent. For most of the past decade, the government has spent nearly half of the annual half-billion dollar inventory budget on Emergent’s anthrax vaccines, The Times noted.

In the competition for funding, pandemic preparation products – including N95 – have repeatedly been lost, according to the Times research, which was based on more than 40,000 pages of documents and interviews with more than 60 people with inside knowledge of inventory levels.

The image of some healthcare workers carrying garbage bags for personal protection has become an enduring symbol of the government’s failed response. Still, the Emergent government paid $ 626 million in 2020 for products containing anthrax vaccines to protect against a terrorist attack.

For much of Emergent’s two-decade history, the lead product was an anthrax vaccine, first approved in 1970 and purchased by the Michigan company in 1998. Over time, the price per dose that the government agreed to pay for Emergent has increased almost sixfold, reflecting inflation.

Ms. DeLorenzo previously defended the company’s pricing as fair. “You can’t protect people from anthrax for less than the cost of a latte,” she wrote in an email.

Emergent’s 2020 sales to the government included a new anthrax vaccine that has not yet been approved as safe and requires special authorization to be stocked. In the months leading up to the coronavirus pandemic, the Trump administration awarded the company long-term contracts worth around $ 3 billion. Last year, the government agreed to pay the company more than $ 600 million to manufacture coronavirus vaccines from other companies at its Baltimore facility. Emergent now manufactures coronavirus vaccines for AstraZeneca as well as Johnson & Johnson.

Emergent, whose board of directors is staffed with former federal officials, has allocated a lobbying budget that is more typical of some large drug companies, according to The Times. Tactics were sometimes resorted to that were considered underhanded even in Washington. For example, competing efforts to develop a better and cheaper anthrax vaccine failed after Emergent outmaneuvered its rivals, documents and interviews show.

Ms. DeLorenzo described the company’s lobbying as “educational” and “appropriate and necessary”.

Categories
Health

W.H.O. consultants investigating the origin of the virus go to a lab in Wuhan.

A team of experts from the World Health Organization studying the causes of the pandemic visited a research center in Wuhan, China on Wednesday that has been the subject of several unsubstantiated theories about the coronavirus.

WHO scientists met with staff at the center, the Wuhan Institute of Virology, which houses a state-of-the-art laboratory known for its research on coronaviruses.

The institute came under scrutiny last year when the Trump administration advocated the unsubstantiated theory that the virus may have leaked from a government-run laboratory in China. But many high-ranking American officials have privately said that evidence suggesting a laboratory accident is primarily circumstantial.

Most scientists agree that the coronavirus most likely occurred in nature and spread from animals to humans. Peter Daszak, one of the experts on the WHO team, described the conversation on Wednesday at the Wuhan Institute as open. “Important questions asked and answered,” he wrote on Twitter, without giving details.

One of the people the WHO team met was Shi Zhengli, known as China’s “bat woman” for her study of coronaviruses found in bats. In June, Dr. Shi first voiced fears that the virus may have leaked from the lab, according to an interview with Scientific American. Later checks showed that none of the gene sequences matched the viruses examined by the staff.

Separately, China announced on Wednesday that it would provide 10 million Covid-19 vaccines to Covax, a global body promoting equitable access to coronavirus vaccinations.

The decision is “another important step China has taken to promote fair distribution of vaccines,” said Wang Wenbin, a foreign ministry spokesman.

He also said the World Health Organization has started reviewing emergency vaccine approval. It was unclear what vaccines Mr. Wang was referring to. Two vaccines – manufactured by Chinese companies Sinovac and Sinopharm – have been approved for use in China.

Categories
Health

Extra elements of China lock down as virus circumstances spike forward of WHO go to

A resident is undergoing a Covid-19 coronavirus test as part of a mass test program in the basement of a residential area after new cases of the virus emerged on January 12, 2021 in Shijiazhuang, central China’s Hebei Province.

STR | AFP | Getty Images

BEIJING – Local authorities in areas near Beijing tighten restrictions on social activities as coronavirus cases rise.

The city of Langfang, which is about 1.5 hours south of downtown Beijing, urged its nearly 5 million residents on Tuesday to stay home for the next seven days. The city is located in Hebei, the same province as Shijiazhuang, a city of 11 million that closed late last week after a surge in coronavirus cases.

Shijiazhuang reported 39 new confirmed cases on Monday while Langfang disclosed one. This brings the total number of currently confirmed and asymptomatic cases in Hebei Province to more than 500 people.

Separately, two regions in the northernmost Chinese province of Heilongjiang announced lockdowns on Tuesday. The province reported one new confirmed case and 36 asymptomatic cases for Monday.

Beijing reported a confirmed case on Monday. Since mid-December, the city has reported a handful of cases in close succession, leading to tighter restrictions on some residential complexes and mass testing on the outskirts of the country’s capital.

It was not immediately clear to what extent the local economy would be affected as there was no official order to stop work. Heilongjiang accounted for just over 1% of China’s GDP in 2019, and Hebei about 3.6%. Neither of the two provinces is as economically important as the one in southeast China.

Representatives from European and American business associations in China said members were not significantly affected by the recent surge in virus cases. Economic activity generally slows in late January through February as hundreds of millions of workers return to their hometown for the New Year celebrations.

However, some provinces have started to announce bans on large-scale gatherings and events. The central government is encouraging people to remain in custody during the New Year holiday, which officially takes place in mid-February this year.

“The worsening coronavirus situation will affect economic activity and markets may need to soften expectations for strong pent-up consumer demand in the upcoming LNY holidays in mid-February,” Ting Lu, Nomura’s chief economist, said in a statement on Monday .

“With the virus situation worsening and the coldest winter in decades, the growth recovery has lost some of its momentum in recent weeks,” he said. “A full recovery in the services sector could be delayed, as weaker PMI indices for services suggest in December.”

Both official and private polls for the past month showed that the Purchasing Managers’ Index (PMI) for services remained in the expansion area but declined from November.

China’s economy contracted 6.8% in the first quarter of last year when authorities shut down more than half of the country to control the outbreak.

WHO team begins investigation

Covid-19 first appeared in the Chinese city of Wuhan in late 2019. Authorities locked the city until the end of January 2020, but the disease soon spread to the rest of the world in a global pandemic. The coronavirus has since infected more than 90 million people and killed over 1.9 million people worldwide.

A team from the World Health Organization will come to China on Thursday to study the origins of the virus with local scientists. WHO said the study would begin in Wuhan.

A separate WHO team is working with manufacturers of Covid-19 vaccines from the Chinese pharmaceutical companies Sinovac and Sinopharm “to assess compliance with international quality manufacturing practices before the WHO lists potential emergencies,” said WHO Director General Tedros Adhanom Ghebreyesus.

Beijing has resisted the idea that Covid-19 came from China. After the domestic spread of the virus stalled in March last year, authorities have blamed foreign sources for later spikes.

For the most recent outbreak, Hebei Province started reporting cases about 10 days ago. On Sunday, an epidemiologist from the provincial disease control center told reporters that the cases likely came from foreign sources that were in contact with the province prior to December 15.

Categories
Health

Now That Grandma Has Been Vaccinated, Might I Go to Her?

A tipping point has come for many families: this week, CVS and Walgreens health care workers will be breaking into nursing homes across the country on behalf of the federal government to vaccinate residents against the coronavirus. Not only will the gunfire help protect the country’s elderly and frail people – and the staff who care for them – but they will also increase the prospect of ending the devastating isolation many residents have felt for months.

Family members hope that they will soon be returning regularly to live with parents and grandparents, aunts, uncles, and other loved ones. We discussed some frequently asked questions with experts.

Probably not by and large. The restrictions vary by state, and the federal government’s guidelines on what it deems safe are in place for now. They already allow visits under certain conditions. The Centers for Medicare & Medicaid Services (CMS) recommended in September allowing outdoor visits with residents and indoor visits if the facility has been free of cases for 14 days.

Some medical experts have said that these guidelines are too lax and that visits should be severely restricted or even prohibited. However, some of these experts are now saying that the vaccine changes the equation a bit.

“Once all residents are vaccinated, the door will open to easing restrictions,” said Dr. Michael Wasserman, the immediate past president of the California Association of Long Term Care Medicine, geriatrician and former senior executive at nursing home chains.

To facilitate visits, Dr. Wasserman advised that all residents of a nursing home should be vaccinated (unless they have an illness or allergy that would prevent vaccination for medical reasons). All employees should be vaccinated. The nursing home should be able to ensure that visitors test negative for the coronavirus and have been disciplined about wearing a mask in public facilities.

The Pfizer and Moderna vaccine clinical trials included people over 65 years of age. The results showed that it is safe and works for both older and younger people.

“This vaccine has been tested and clinically tested to ensure that it meets the highest safety standards. It’s safe to get even if you’ve already had the virus, ”read a campaign by the American Health Care Association and the National Center for Assisted Living, a combined trade group that represents nursing homes and assisted living communities to encourage people to do so To get shots.

CMS chief administrator Seema Verma, in a statement last week, increased the confidence of elderly patients, including those with health problems, in the admission: “I urge states to give priority to nursing homes and vulnerable seniors in distributing the vaccine to grant. “

The point is made by Dr. Sabine von Preyss-Friedman, chief physician at Avalon Health Care Group, which operates nursing homes, affirmed who said the new vaccines are “safe and effective”.

Covid19 vaccinations>

Answers to your vaccine questions

With a coronavirus vaccine spreading out of the US, here are answers to some questions you may be wondering about:

    • If I live in the US, when can I get the vaccine? While the exact order of vaccine recipients may vary from state to state, most doctors and residents of long-term care facilities will come first. If you want to understand how this decision is made, this article will help.
    • When can I get back to normal life after the vaccination? Life will only get back to normal once society as a whole receives adequate protection against the coronavirus. Once countries have approved a vaccine, they can only vaccinate a few percent of their citizens in the first few months. The unvaccinated majority remain susceptible to infection. A growing number of coronavirus vaccines show robust protection against disease. However, it is also possible that people spread the virus without knowing they are infected because they have mild symptoms or no symptoms at all. Scientists don’t yet know whether the vaccines will also block the transmission of the coronavirus. Even vaccinated people have to wear masks for the time being, avoid the crowds indoors and so on. Once enough people are vaccinated, it becomes very difficult for the coronavirus to find people at risk to become infected. Depending on how quickly we as a society achieve this goal, life could approach a normal state in autumn 2021.
    • Do I still have to wear a mask after the vaccination? Yeah, but not forever. Here’s why. The coronavirus vaccines are injected deep into the muscles and stimulate the immune system to produce antibodies. This seems to be sufficient protection to protect the vaccinated person from disease. What is not clear, however, is whether it is possible for the virus to bloom in the nose – and sneeze or exhale to infect others – even if antibodies have been mobilized elsewhere in the body to prevent that vaccinated person gets sick. The vaccine clinical trials were designed to determine if people who were vaccinated are protected from disease – not to find out if they can still spread the coronavirus. Based on studies of flu vaccines and even patients infected with Covid-19, researchers have reason to hope that people who are vaccinated will not spread the virus, but more research is needed. In the meantime, everyone – including those who have been vaccinated – must imagine themselves as possible silent shakers and continue to wear a mask. Read more here.
    • Will it hurt What are the side effects? The vaccine against Pfizer and BioNTech, like other typical vaccines, is delivered as a shot in the arm. The injection in your arm feels no different than any other vaccine, but the rate of short-lived side effects seems to be higher than with the flu shot. Tens of thousands of people have already received the vaccines, and none of them have reported serious health problems. The side effects, which can be similar to symptoms of Covid-19, last about a day and are more likely to occur after the second dose. Early reports from vaccine trials suggest that some people may need to take a day off because they feel lousy after receiving the second dose. In the Pfizer study, around half developed fatigue. Other side effects occurred in at least 25 to 33 percent of patients, sometimes more, including headache, chills, and muscle pain. While these experiences are not pleasant, they are a good sign that your own immune system is having a strong response to the vaccine that provides lasting immunity.
    • Will mRNA vaccines change my genes? No. Moderna and Pfizer vaccines use a genetic molecule to boost the immune system. This molecule, known as mRNA, is eventually destroyed by the body. The mRNA is packaged in an oily bubble that can fuse with a cell, allowing the molecule to slide inside. The cell uses the mRNA to make proteins from the coronavirus that can stimulate the immune system. At any given moment, each of our cells can contain hundreds of thousands of mRNA molecules that they produce to make their own proteins. As soon as these proteins are made, our cells use special enzymes to break down the mRNA. The mRNA molecules that our cells make can only survive a few minutes. The mRNA in vaccines is engineered to withstand the cell’s enzymes a little longer, so the cells can make extra viral proteins and trigger a stronger immune response. However, the mRNA can hold for a few days at most before it is destroyed.

The Pfizer and Moderna vaccines both require two injections – the first shot and a booster three or four weeks later. Dr. von Preyss-Friedman recommends waiting for a visit at least two weeks after the second shot.

“They hope these vaccines will work, but these are elderly patients,” she said. “You want to err on the side of protection.”

She said that ideally the visitor would also be vaccinated. Since shots may not be widely available for a few months, it may be best to wait to get your vaccine. Until then, she believes that nursing homes should consider visits on a case-by-case basis.

Absolutely, said medical experts. This is especially true if they are not vaccinated, but even after they are vaccinated, “until rates drop in the community,” said Dr. Joshua Uy, geriatrician and associate professor in the University of Pennsylvania Medical School and medical director of the Renaissance Healthcare & Rehabilitation Center, a nursing home in Philadelphia.

Dr. Uy hopes the federal government will provide enough personal protective equipment so that all visitors and residents can be appropriately dressed for such visits.

The Nursing Home and Assisted Living Combined Trading Group has started a program to help nursing homes and other care facilities explain the essential need to receive the vaccine to residents. The #getvaccinned campaign states: “The elderly are at a much higher risk of getting very sick, being hospitalized or dying of Covid-19. It has been shown that the vaccine offers a high level of protection against serious diseases due to Covid-19. “

But the people they love the most may have more effective persuasive powers. Families can help, said Dr. Uy, by encouraging their parents and grandparents in nursing homes to get vaccinated.

“The vaccine,” he said, “will be our way out.”