Category: Covid-19

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How Covid-19 is invisibly influencing the 2022 midterm elections – Vox.com

June 16, 2022

As Democrats and Republicans vie for control of Congress in the midterms in November, Covid-19 will likely be both everywhere and nowhere.

On the surface, the pandemic seems to be far from the minds of voters and the lips of candidates right now. Two years after it helped sink Donald Trumps reelection campaign, few voters name it as a top priority; candidates arent focusing on it either. Even though the United States passed 1 million reported Covid-19 deaths while the primary season was kicking off in earnest in early May, the virus has seemingly lost its salience as a political issue.

Democrats generally arent boasting about their Covid-19 responses or the rollout of vaccines under the Biden administration. If they are talking about the pandemic, they tend to focus more on helping the country move on from it. Republicans dont want to talk about Covid either, as their base doesnt take it as seriously. If they do, its typically to criticize the public health institutions that have taken center stage during the last two years.

But if you look closer, the pandemic is still having enormous, if subtler, influence on American politics. Inflation a crisis that began with supply-chain and workforce issues caused by Covid-19 and was likely amplified by some aspects of the US relief legislation is the No. 1 issue for US voters right now. Murders and drug overdose deaths began rising during the pandemic, souring the publics mood on the countrys future and presaging a difficult campaign for the party in power.

Its been so extensive that you just dont notice it, John Gasper, an economics professor at Carnegie Mellon University who has studied the effect of prior natural disasters on political behavior, said. People are sick of blaming Covid for a lot of things. Politicians dont want to keep talking about Covid.

Both sides arguably have reason to leave Covid-19 out when they take to the stump or produce their campaign videos, Neil Malhotra, a political economist at Stanford University, told me. President Joe Biden and Democrats have been in power for two years and the pandemic is still ongoing. Much of the Republicans voter base has been skeptical of Covid-19s significance for a while, giving their candidates little reason to focus on it.

The exception is the hard-right candidates who oppose public health interventions to slow down the pandemic. Certain Republicans continue to make clear their opposition to mask or vaccine mandates and other measures, even though those restrictions have been lifted almost everywhere.

That bizarre reality in which the pandemic that killed 1 million people is being most effectively politicized by the people who opposed the response to it reflects the unusual nature of Covid-19 as a political event. It started as something akin to a natural disaster: disruptive, but not something that sticks in voters memory. But, unlike most hurricanes or tornados, the pandemic wasnt over within a relatively short time. It lasted years long enough to evolve into a political wedge issue that candidates use to stir up their most strident supporters.

Covid has transformed from a disaster to ... fodder or kindling for the ongoing culture war, Gasper said. Its one more thing to stoke the fire in order to feed your base.

Covids decline as an overt political issue has been precipitous. In January, in the thick of the omicron wave, it was one of the top answers in Gallups poll asking Americans to name the most important problem facing the country. But three months later, in April, the share who still put the pandemic as the No. 1 issue had dropped from 20 percent to 4 percent; it was trailing Russia and fuel prices among peoples concerns.

Inflation and the state of the economy in general have become the dominant issues for voters. Those problems have their origins in the pandemic, but they are complicated by other events like the war in Ukraine.

Over time, voters typically have less tolerance for politicians blaming the same thing for all the problems in the world, even if there is some truth to it. Its old news. So candidates are responding to that apathy in the 2022 campaigns. Democratic politicians, in particular, tend to be very reactive to voters attitudes, Malhotra said, and voters right now are done with Covid-19.

Theyre really trying hard to see where voters are, trying to reach what the median voters believe, he said. The mass voting base in this country is over Covid. They just are. That is the truth.

The example of Democratic Gov. Jared Polis in Colorado, who is up for reelection this year, is telling. Polis has positioned himself as more libertarian on the pandemic response, in a state that leans toward Democrats but where Republicans can still win in the right political environment.

Polis ended Colorados state of emergency in July 2021. During the omicron wave this winter, he would not tolerate calls for new mask mandates. He has framed his policies on Covid-19 as moving forward. And he has been rewarded with one of the highest approval ratings of any Democrat seeking reelection this year.

Kyle Kondik at the University of Virginias Center for Politics noted that even in deeply Democratic Washington, DC, Mayor Muriel Bowser is seeking in her campaign to strike a balance between touting the citys mitigation efforts while also taking credit for its schools reopening.

In Republican campaigns, Covid-19 is either invisible or the government response is the subject of ridicule. The Nevada GOP candidates looking to challenge Democratic Gov. Steve Sisolak in a key gubernatorial race all stressed their opposition to mask and vaccine mandates as well as business closures. Tellingly, in the GOP primary for the Pennsylvania US Senate election, candidates Dave McCormick and eventual winner Mehmet Oz took hard-right turns during the campaign. Oz had previously been supportive of pandemic interventions before he then campaigned against mask mandates because masks dont work.

Such sentiments are as powerful as anything in Republican politics right now. As CNN noted earlier this year, even though Trump himself tried to counter vaccine skepticism, many of his favored candidates have continued to run very publicly on their opposition to not only vaccine mandates but to getting vaccinated at all.

It fits into the general themes of distrusting experts and institutions that have been a hallmark of Republican campaigns for a long time now, most notably during Trumps rise to the presidency. Those anti-establishment attitudes are now taking on a Covid framing after two years of living through the pandemic.

I think that comes out in being critical of the Covid mitigation techniques that public health authorities have suggested, Kondik said. So it may be that Republicans place themselves in opposition to such experts as a way of indicating they are on the side of their own voters.

In that sense, Malhotra told me, part of Covids apparent invisibility is a byproduct of it largely serving to reaffirm peoples preexisting beliefs. It didnt change the trajectory of Americas recent political polarization, which has sorted high-income and lower-education voters into the GOP camp and low-income and higher-education voters to the Democrats.

Still, the pandemic has already toppled one sitting president, a rarity in recent American elections. All of the experts I spoke with credited Trumps loss in 2020 with, at least in part, his not taking Covid-19 seriously enough and failing to marshal an effective response.

So we cant say that it hasnt affected American politics at all. But whether our political character is altered in a more fundamental way as a result of the last two years remains to be seen.

In the past, natural disasters have tended to not have a major or lasting effect on voting behavior or political attitudes, according to the research conducted by scholars like Gasper and Malhotra. Their immediate impact is too concentrated and too fleeting to change how tens of millions of people feel about the government and its leaders.

Covid-19 is already different, given the much longer timeline on which the pandemic has unfolded. As long as we are living with runaway inflation and the other secondary effects of the virus, it will leave a mark perhaps subtly but detectable on peoples politics.

Amy Walter, editor and publisher of the Cook Political Report, told me there may be some political benefit to be found in opposing the pandemic response now. But she added that politicians coming into office are also being tasked with fixing the resulting problems: economic uncertainty, rising crime, and the other public health crises in drug abuse and mental health that were exacerbated by Covid-19. And if they fail to act, they may end up paying the price down the road.

A politician may be able to win today by being opposed to the public health establishments response to Covid, she said. But that same politician will likely be dealing with the downstream challenges that Covid has wrought on our society. And, if they are deemed as insufficiently addressing those issues, they could be vulnerable in a re-election bid of their own.

We are all living in a world irreversibly altered by the pandemic experience. So while the virus might be fading as an object of media attention or voter concern, that does not mean the US is the same country it was before Covid-19 arrived.

The consequences of the pandemic for US politics have been subtle and even surprising. But they are still there, if you know where to look.

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How Covid-19 is invisibly influencing the 2022 midterm elections - Vox.com

Secretary Antony J. Blinken At the COVID-19 Global Action Plan Meeting – United States Department of State – Department of State

June 16, 2022

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SECRETARY BLINKEN:Good afternoon, everyone. Good to see you all here. When I heard everyone was gathering here, I thought the least I could do is drop by to simply say thank you, thank you, thank you for the remarkable work that youre doing.

You all know this, but four months ago our countries created the Global Action Plan to try to accelerate our efforts to vaccinate 70 percent of our people against COVID-19, the goal set by the WHO. I think we all knew that hitting that target would take countries stepping up together in a highly coordinated way. So we identified key gaps that remained, we established together six lines of effort to bridge those gaps, and then everyone in this room in effect took responsibility for leading this effort and doing it together.

And as weve talked, and I know as youre discussing today, we have made significant progress on each of these lines of effort. A lot more work remains to be done, but this is moving forward precisely because weve come together in a coordinated way.

The first line of effort: trying to get more shots into arms. We know that there are a lot of vaccines out there. The challenge has been actually getting the shots into arms. Weve ramped up vaccine delivery. Weve improved cold chain capacity to store and ship more doses to more places. Weve conducted in-country campaigns to increase demand for vaccines.

For example, just to cite a few: Colombia has stepped up its efforts to vaccinate Venezuelan refugees; India has enhanced its vaccine production; Japan has significantly expanded cold chain storage worldwide; Australia, New Zealand are doing great work vaccinating citizens in the Pacific Island nations, just to cite some of the striking examples.

To that end, one of the things Im excited to be able to share today is that the United States, in partnership with COVAX, will begin donating pediatric Pfizer vaccines for 5-to-12 year-olds. In fact, the first shipment is going out today: 300,000 doses are being donated to Mongolia; 2.2 million doses are being donated to Nepal. Weve got many more ready to go for countries that want them.

The second line of effort that weve all been working on together: strengthening supply chains for COVID-related materials tests, syringes, treatments. Well, we are building resilience into the supply chains when shortages and disruptions emerge. For example, the European Union has been consulting with businesses across Africa on medical supplies. The United States has started similar engagements in our own hemisphere as well as globally.

The third line of effort: addressing information gaps that lead to low confidence in vaccines. With help from Canada, were coordinating across governments to combat misinformation and disinformation, as well as through programs like the United States Global VAX effort, which uses evidence-based interventions to increase vaccine demand.

The fourth line of effort that weve been working together: providing more support to frontline health care workers. Well, with leadership from Spain, from India, the Republic of Korea, were ensuring that those workers have access to vaccines as well as accurate information about vaccines so that they can stay healthy and keep doing the heroic work that theyre doing every day.

The fifth line of effort: Weve begun a critical conversation on how to increase access to treatments and therapeutics so that people who get COVID can survive it and bounce back faster. Theres a lot more work well need to do on this line of effort to ensure that we have enough interventions available worldwide, from testing to treating, as we move to the next phase of the pandemic.

And finally, the sixth line of effort: building a stronger, more effective global health architecture so that we can better detect, prevent, respond to future emergencies. Well, we started by building on the work of the structures that we created to address this pandemic COVAX, the ACT-Accelerator. And I particularly want to thank Norway and South Africa for coordinating the ACT-As work to develop and equitably distribute tests, treatments, vaccines; Germany, the United Kingdom, and Japan for galvanizing donors; Indonesia for creating a financial intermediary fund for pandemic preparedness.

I know that we all agree around this table and in this room that if were just as vulnerable at the end of this pandemic as we were when COVID-19 began, thats dangerous and its a major disservice to our citizens. We have to seize this opportunity to become better prepared than we were before.

Looking ahead, the lines of effort that were all working, the six lines of effort, remain critical. In many ways this is a marathon. We still have a long way to go if were going to end the acute phase of the pandemic and build a lasting foundation for our future.

To do that, perhaps more than anything else, we have to maintain our commitment. We cant let the pandemic and pandemic fatigue deplete our political will. And I just want to assure you all that the United States continues to be intently focused on fighting the pandemic and leaving the world better prepared and better defended for whatever comes next.

This experience, this pandemic, has taught us that health security is national security and that in this 21st century, health emergencies often cant be solved by countries working on their own. Viruses dont respect borders. We are, quite literally, all in this together. And so Im really grateful to everyone here, to the countries you represent, for this partnership. The progress weve made to date has been possible because of your leadership, because of your engagement, because of your willingness to coordinate and collaborate to what I think is a remarkable degree. Now we just need to keep doing it.

So thank you. I hope the meetings here in Washington are productive, I hope theyre energizing, and I look forward to seeing everyone again soon to review our progress, strengthen our efforts, and keep up this common fight. Thank you very, very much. (Applause.)

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Secretary Antony J. Blinken At the COVID-19 Global Action Plan Meeting - United States Department of State - Department of State

People with mental health problems at higher risk for severe COVID-19 outcomes – News-Medical.Net

June 16, 2022

In a recent study published in the CDCs Emerging Infectious Diseases journal, researchers assessed the associations between mental health conditions (MHCs) and severe outcomes of coronavirus disease 2019 (COVID-19).

Individuals with MHCs might be at an elevated risk for severe outcomes of COVID-19 post-hospitalization. Most prior studies were limited by the small sample size or aggregation of MHCs concealing the risk differences. Moreover, earlier studies did not evaluate readmissions and hospital length of stay (LOS).

Study: Mental Health Conditions and Severe COVID-19 Outcomes after Hospitalization, United States. Image Credit:lumezia.com/ Shutterstock

In the current study, researchers investigated the associations of select MHCs with severe COVID-19 outcomes, LOS, and readmission. They analyzed a large United States (US)-based database of patient records. Patients hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and discharged between March 1, 2020, and July 31, 2021, were identified. Anxiety, bipolar disorder, depression, and schizophrenia were select MHCs. The outcomes of interest were intensive care unit (ICU) admissions, LOS, invasive mechanical ventilation, all-cause readmission to the same hospital within 30 days, and all-cause mortality during the hospital stay.

The association between each MHC with each outcome was examined using mixed-effects models. The reference cohort comprised patients without the diagnosis of any MHC. Adjusted odds ratios and corresponding 95% confidence intervals (CIs) were estimated with logistic models. 95% CIs and percentage differences for LOS were computed using Poisson models. Models were adjusted for age, race, sex, ethnicity, admission month, insurance type, Elixhauser Comorbidity Index, and hospital characteristics.

The study sample comprised 664,956 patients hospitalized with COVID-19. Most patients (77.1%) were 50 years or older, and 55% of male patients did not have any MHC diagnoses compared to 45% of females. More male patients (53.8%) than females (46.2%) had schizophrenia. In contrast, most female patients had depression (61.7%), anxiety (61%), or bipolar disorder (58.8%), outnumbering male patients.

Outcomes of hospitalized COVID-19 patients (n = 664,956), by mental health condition diagnosis, compared with patients without mental health condition diagnoses in the Premier Healthcare Database Special COVID-19 Release, United States, March 2020July 2021. For each condition, odds ratios represent the odds of the given outcome for patients with the condition compared with patients without mental health conditions. For length of stay, percentages represent the percentage difference in length of stay for patients with the condition compared with patients without mental health conditions. Covariates were selected based on factors known or plausibly associated with both the mental health condition and given outcome. Bolded values indicate statistical significance (2-sided =0.05), adjusted for multiple comparisons using the Bonferroni-Holm method.

Greater odds of ICU admission, mechanical ventilation, and death were noted for patients with anxiety than those without MHC. Patients with any of the select MHCs had significantly elevated odds of readmission. All select MHCs were significantly associated with longer mean LOS. Patients with anxiety, on average, had the longest hospital stay of 34.8 days, followed by those with schizophrenia (25.6 days), bipolar disorder (20.6 days), and depression (19.5 days).

The authors found that anxiety was strongly associated with severe disease outcomes. Each of the select MHCs was independently associated with an increased risk of all-cause readmission within 30 days and longer mean LOS. These results could not be compared with findings from previous studies because they had substantial heterogeneity in data/results, aggregation of MHCs, and populations with varying risk profiles, among others.

Moreover, earlier studies found no significant relationship between anxiety and increased risk for mechanical ventilation, ICU admission, or in-hospital mortality. In contrast, most others did not evaluate outcomes such as LOS and readmission. In summary, MHCs might aggravate respiratory diseases, increasing the risk for readmission or prolonged hospital stay in non-psychiatric hospitalizations. The study showed differences in the risks of each select MHC and provided evidence that MHCs could be deemed high-risk factors for COVID-19 patients.

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People with mental health problems at higher risk for severe COVID-19 outcomes - News-Medical.Net

Ivermectin doesn’t show meaningful reduction in COVID-19 – Axios

June 16, 2022

Ivermectin, a drug used to treat parasitic infections, has no meaningful benefit for treating COVID-19 symptoms, according to a new study from Duke University.

Why it matters: The Duke study is one of the largest clinical trials to show ivermectin which soared in popularity to treat COVID symptoms during the pandemic is not effective for doing so.

What they're saying: "Given these results, there does not appear to be a role for ivermectin outside of a clinical trial setting, especially considering other available options with proven reduction in hospitalizations and death," Adrian Hernandez, the executive director of the Duke Clinical Research Institute, said in a statement. Hernandez led the study.

The big picture: This was not the first study to suggest the ineffectiveness of ivermectin against COVID-19.

What's next: Duke plans to study ivermectin further, with another volunteer group receiving 50% more of the drug than it did in this study.

Go deeper: Read the full study here.

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Ivermectin doesn't show meaningful reduction in COVID-19 - Axios

More child care spaces opening to working military families after COVID-19 pause in priority system – Military Times

June 16, 2022

Now that child development centers are returning to normal operations coming out of the COVID-19 pandemic, most have restarted a prior policy that supplants lower-priority children when a higher-priority family such as an active duty working family requests care.

Theres long been a shortage of military child care, and of child care nationwide.

A Defense Department policy issued just before the pandemic and implemented in September 2020 gave working military families, including Coast Guard families, higher priority for spaces in child development centers and school-age child care programs.

But for the first time, it also allowed officials to supplant, or displace, children who already were in a child development program, whose parents were in a lower priority category, if the military family was expected to be on a waitlist for more than 45 days after the time they need child care.

DoD officials allowed a pause in the supplanting process during the height of the COVID-19 pandemic; not all the service branches paused the process.

The Navy announced the restart of its supplanting process on Tuesday. That change comes in the peak of moving season for military families, when many families are searching for child care as they move to a new duty station. Air Force officials restarted the services supplanting policy earlier in 2022. The Army never stopped its supplanting procedures during the COVID-19 pandemic.

In June, the Navy has restarted the supplanting procedures at six fleet concentration areas with long child care waitlists: Norfolk, Virginia; San Diego; Naval Base Kitsap and Naval Air Station Whidbey Island, Washington; Naval Air Station Jacksonville and Naval Station Base Mayport, Florida, said Coleen R. San Nicolas-Perez, spokeswoman for Navy Installations Command.

In July, all other Navy installations will restart the supplanting policy.

Across DoD, working active duty families and certain others cant be displaced from the child development centers. Families who are displaced receive notice at least 45 days in advance if their child or children must leave the child development center, so they can attempt to find child care elsewhere.

Families who are supplanted also are allowed to reapply for space through MilitaryChildCare.com, which is the DoDs website for military and DoD-affiliated families seeking child care ranging from the centers, school-age care, family child care homes and fee assistance programs for child care in the civilian community.

Navy officials will review all school-age care programs in the fall to determine if any supplanting will be required, San Nicolas-Perez said.

Some military families felt they were at a disadvantage because they move frequently, while others, such as DoD civilians, dont move frequently, so those child care spots were locked up. The policy allows lower-priority families to be displaced so that there is more room for military children.

For example, the policy change moved DoD civilians down on the priority list. If a military family moving into the area is expected to be on a waitlist for more than 45 days, a DoD civilian familys child could be displaced from the DoD child care program to make room for that military child, with a minimum of 45 days notice to the civilian family.

The priorities are as follows:

* Priority 1A Child development program staff.

* Priority 1B Single/dual military members and military members with a full-time working spouse, including active duty Coast Guard.

* Priority 1C Military members with a part-time working spouse or those with a spouse seeking employment.

* Priority 1D Military members with a spouse enrolled full-time in a post-secondary institution.

* Priority 2 Single/dual Department of Defense civilians or with a full-time working spouse.

* Priority 3 Space available.

Those who cant be supplanted are:

Child development program direct care staff.

Active duty combat-related wounded warriors.

Single/dual active duty military/Coast Guard.

Single/dual Guard/Reserve on active duty or inactive duty training status.

Active duty military/Coast Guard with a full-time working spouse.

Guard/Reserve on active duty or inactive duty training status with a full-time working spouse.

Gold Star spouses (combat-related).

For the full matrix of who can be supplanted, and by whom, visit MilitaryChildCare.com https://www.mcccentral.com/system/files/downloads/training-center/resources/MilitaryFamilyTypes_Supplanting_0.pdf

Karen has covered military families, quality of life and consumer issues for Military Times for more than 30 years, and is co-author of a chapter on media coverage of military families in the book "A Battle Plan for Supporting Military Families." She previously worked for newspapers in Guam, Norfolk, Jacksonville, Fla., and Athens, Ga.

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More child care spaces opening to working military families after COVID-19 pause in priority system - Military Times

T Cells Protect Against COVID-19 in Absence of Antibody Response – POZ

June 16, 2022

Vaccines developed early in the COVID-19 pandemic still provide strong protection against severe disease, hospitalization, and death. But SARS-CoV-2, the virus that causes COVID-19, continues to mutate. Many of these mutations alter the spike protein, which the virus uses to enter and infect cells. These mutations help the virus to dodge the immune systems attack.

Current vaccines prompt the creation of antibodies and immune cells that recognize the spike protein. However, these vaccines were developed using the spike protein from an older variant of SARS-CoV-2. This has made them less effective at preventing infection with newer variants. Researchers have found that immune cells called T cells tend to recognize parts of SARS-CoV-2 that dont mutate rapidly. T cells coordinate the immune systems response and kill cells that have been infected by the SARS-CoV-2 virus.

A vaccine that prompted the body to create more T cells against SARS-CoV-2 could help prevent disease caused by a widerange of variants. To explore this approach, an NIH-funded research team led by Dr. Marulasiddappa Suresh from the University of Wisconsin, Madison studied two experimental vaccines that included compounds to specifically provoke a strong T-cell response in mice.

Using mice that could be infected with SARS-CoV-2, the team tested the vaccines ability to control infection and prevent severe disease caused by an earlier strain of SARS-CoV-2 as well as by the Beta variant, which is relatively resistant to antibodies raised against earlier strains. The results appeared on May 17, 2022, in Proceedings of the National Academy of Sciences.

When the researchers vaccinated the mice either through the nose or by injection, the animals developed T cells that could recognize the early SARS-CoV-2 strain and the Beta variant. The vaccines also caused the mice to develop antibodies that could neutralize the early strain. However, they failed to create antibodies that neutralized the Beta variant.

The team exposed the mice to SARS-CoV-2 around 3 to 5 months after vaccination. Vaccinated mice had very low levels of virus in their lungs compared with unvaccinated mice and were protected against severe illness. This was true of infection with the Beta variant as well. This showed that the vaccine provided protection against the Beta variant despite failing to produce effective antibodies against it.

To understand which T cells were providing this protection, the researchers selectively removed different types of T cells in vaccinated mice prior to infection. When they removed CD8 (killer) T cells, vaccinated mice remained well protected against the early strain, although not against the Beta variant. When they blocked CD4 T (helper) cells, levels of both the early strain and Beta variant in the lungs and severity of disease were substantially higher than in vaccinated mice that didnt have their T cells removed.

These results suggest important roles for CD8 and CD4 T cells in controlling SARS-CoV-2 infection. Current mRNA vaccines do produce some T cells that recognize multiple variants. This may help account for part of the observed protection against severe disease from the Omicron variant. Future vaccines might be designed to specifically enhance this T cell response.

I see the next generation of vaccines being able to provide immunity to current and future COVID-19 variants by stimulating both broadly-neutralizing antibodies and T cell immunity, Suresh says.

This research summarywaspublishedby the National Institutes of Health on June 7, 2022.

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T Cells Protect Against COVID-19 in Absence of Antibody Response - POZ

Colorado’s health care system scored 17th for COVID-19 response, but ranked among the five worst states for mental health, alcohol deaths and…

June 16, 2022

Colorado hospitals response to COVID-19 ranked 17th among all 50 states and the District of Columbia, according to The Commonwealth Funds national health care scorecard, an annual report that ranks state health care systems on various metrics based on how well states provide high-quality, accessible and equitable health care.

For the first time, the scorecard focused specifically on how well states managed COVID-19 in 2022.

Anuj Mehta, a pulmonary care physician at Denver Health, told CPR in March while Colorado's COVID-19 numbers are better in recent weeks than earlier in the pandemic, most hospitals remain incredibly busy with non-COVID patients who are much sicker and tend to stay in the hospital for longer periods of time than before the pandemic.

He said health care systems across the state continue to face significant staffing issues, which may worsen as health care workers finally take a moment to reflect on the immense psychological trauma they have suffered in the last two years.

Colorado ranked 12th in fully vaccinated adults who also received a booster dose with 44 percent of Colorado adults having received a vaccine and booster shot.

The state also ranked 12th best in preventing excess deaths associated with COVID-19 with 281 deaths per 100,000 people in the state.

The lowest COVID-19 metric was in the number of hospital shortages. Colorado hospitals went 59 days with shortages placing the state 28th nationally.

Colorado ranked 12th overall in health care performance. Hawaii, Maine, Vermont, Washington and Oregon landed in the top five. Alabama, Oklahoma, Kentucky, Mississippi and Georgia rounded out the bottom.

The state saw its highest marks in hospital patient experience and fitness, but also in preventable hospitalizations. It also saw its highest improvements in hospital 30-day mortality, the number of adults who report fair or poor health and avoidable ER visits.

However the good numbers came with some stark reminders of Colorados mental health crises.

The state ranked among the worst at 45th in deaths by suicide, 46th in alcohol related deaths which nearly doubled from 15 deaths per 100,000 people to 24 deaths per 100,000. The state also saw drug overdoses severely increase along with the rest of the nation.

We have had some of the nation's highest rates of adult and youth suicide. We've got an opioid epidemic on our hands, said Vincent Atchity, the President and CEO of the non-profit Mental Health Colorado. So we're in a critical condition on the extreme side of things in so many ways.

One glaring metric was a 10 percent jump in adults with unmet mental illness needs, up to 32 percent. Colorado ranked 48th in that category.

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Colorado's health care system scored 17th for COVID-19 response, but ranked among the five worst states for mental health, alcohol deaths and...

KKR Announces Progress of the KKR COVID-19 Relief Effort – Business Wire

June 16, 2022

NEW YORK--(BUSINESS WIRE)--KKR today published Engaged. KKR COVID-19 Relief Effort Progress Report (the COVID-19 Report), which discusses the relief fund formally established by KKR and its employees in May 2020 to provide support for those most affected by COVID-19 and the resulting economic dislocation. As part of this initiative, KKR also announced the 82 grants awarded to small business owners and nonprofits in the final rounds of the KKR Small Business Builders (SBB) and KKR Grants programs.

The COVID-19 Report details the four key initiatives of the relief effort KKR SBB, KKR Grants, portfolio company support programs and employee giving which were established with an emphasis on impact and equity. Over the past two years, KKR and its employees have contributed more than $50 million in community funding to support over 20 million people across 19 countries. The results include the following:

Over the past two years, we have provided support for the most vulnerable members of our communities who were disproportionally affected by the unprecedented global health, social and economic crisis, said Ken Mehlman, Partner, Global Head of Public Affairs and Co-Head of Global Impact at KKR. By focusing on small business owners, growing our strategic philanthropy, drawing on our employees skills and passion and creating support systems for our portfolio companies, our goal has been to engage with our communities to build a healthier, more resilient world. We know there is more work to do as we slowly emerge from the pandemic, and we remain committed to investing in and staying engaged in our communities.

Final Round of KKR Small Business Builders

In connection with the progress report, KKR announced the recipients of the final rounds of KKR SBB and KKR Grants programs, two of the cornerstone initiatives of the KKR relief effort focused on providing grants and support to small businesses and nonprofits worldwide.

In the final round of the KKR SBB program, 49 small business owners in 47 cities spread across 24 states in the United States, as well as in Singapore, were selected to receive $10,000 grants. The businesses selected in the final round of SBB grants are 71% minority-owned, 25% owned by veterans or their immediate family members, 14% owned by persons with disabilities and 10% LGBTQ+-owned. To date, 67% of KKRs SBB grantees are from historically underrepresented groups and the LGBTQ+ community. Notably, 54% of recipients have reported being able to increase wages for employees, 57% have reported an increase in revenue and nearly 75% say their KKR grant was a difference-maker in their ability to survive the pandemic.

Final Round of KKR Grants

The final round of KKR Grants through the relief effort included commitments of more than $3.1 million to 33 nonprofits. The grants were awarded to organizations whose missions are aligned with priority areas, including delivering immediate aid to vulnerable populations impacted by the pandemic, providing innovative pathways of workforce recovery and development, and supporting our heroes including teachers, first responders, essential workers and front-line medical professionals.

The recovery from the pandemic will be lengthy and complex, requiring continued and reliable support for the nonprofit sector; our findings underscore this reality, and we are committed to ensuring help is on hand, said Pamela Alexander, Managing Director and Head of Corporate Citizenship at KKR. As we evolve our philanthropic programming beyond the relief effort, we aim to ease these challenges and ensure that communities around the world receive the support they need as they recover and rebuild.

To access the KKR COVID-19 Relief Effort Progress Report, click here.

KKR Small Business Builders Final Round Recipients

Vernishia Robinson

A Healing Touch Chiropractic Center, LLC |

Columbia, SC

Alison Cox

Ali Cox & Company, Inc. | Turlock, CA

Christian Parker

Alternative Home Care Services LLC |

Indianapolis, IN

Marisol Villalobos

Amasar LLC | Jayuya, PR

Amber Jones

Amber's Addictions LLC | Fort Worth, TX

Amyanna Germany

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Child care providers concerned as state phases out COVID-19 testing support – GBH News

June 14, 2022

The Massachusetts Department of Early Education and Care announced on Friday that it's phasing out a state-sponsored COVID-19 testing program that thousands of child care programs across the commonwealth have relied on over the last year.

The announcement which came two weeks after the state relaxed quarantine guidelines for child care, but before federal approval of COVID-19 vaccinations for children under 5 only adds to the uncertainty for day care providers on how best to keep children and staff safe.

Winding down the testing program

In an email to child care providers, the state Department of Early Education and Care announced it will end the COVID-19 testing program at the end of this month. The program, which has been run by the nonprofit Neighborhood Villages, provided tests to centers each month and included a system for reporting and tracking positive cases.

The state's contract with Neighborhood Villages was set to expire at the end of this month, and child care providers told GBH News this spring that they were worried the program might not be renewed. Even though the program is ending, the state says it will continue to provide free rapid antigen tests to providers on a quarterly basis through the end of December.

The state is also closing drive-through testing sites in Braintree and Tewksbury that were exclusively serving child care staff and families with kids in those programs. State officials have not yet said whether they'll continue offering a "surveillance" program of weekly PCR tests that several hundred child care providers have been using.

One of the centers that's been participating in the PCR testing program is Temple Beth Shalom in Needham. The program serves about 220 children and is run by Ellen Dietrick, who told GBH News she's worried the state will end PCR testing.

"I think that testing is one of the very few methods we have to protect these under-fives," Dietrick said, noting kids that age are terrible at social distancing and still unvaccinated.

The state's email on Friday said Neighborhood Villages will continue to offer a phone hotline through the end of August, "to support the implementation of recently updated guidance and other COVID-19 related inquiries."

Relaxing state quarantine guidelines

Day care providers were already feeling uneasy with new quarantine guidance issued by the state Executive Office of Health and Human Services about two weeks ago.

On May 25, EOHHS announced that, effective immediately, children were no longer required to quarantine if they've been exposed to someone who has COVID-19. The guidelines said those children should continue attending child care programs, and that while testing is recommended for those kids, it's not required.

The state says the changes were made to be more consistent with the guidelines for K-12 schools, after-school and camp programs. Still, the abrupt shift left some child care providers feeling less protected.

"So theoretically, you could have a young child who has a family filled with positive family members including their own parents ... and according to these guidelines, that exposure does not mean that the child should stay home," said Lauren Cook, CEO of Ellis Early Learning, which serves 250 children at three child care locations in Boston. "And we've seen at Ellis, based on our experience, that it is highly likely a young child will test positive within probably five days of the parents being positive."

The new guidelines also say that children who do test positive for infection can return to child care settings after they've quarantined for five days, as long as they're asymptomatic and able to mask.

Cook pointed out, though, that many programs provide breakfast, lunch and a snack each day.

"So that's three instances where kids are maskless," she said. "And then naps are usually over an hour where kids are maskless. So are we defining 'able to mask' as children who are taking their masks off for all those periods of time?"

Unlike public schools, most child care providers are private organizations that can make up their own rules. But Cook said she'd likely receive pushback from parents if her program adopted rules that were more stringent than state guidelines. She said she plans to poll parents to see if there's support for a policy that she feels would be more protective.

For the youngest kids, vaccinations haven't started yet

The scaled-back testing program and quarantine requirements come before children under 5 can get vaccinated. That could soon change, as the Food and Drug Administration and Centers for Disease Control and Prevention are expected to approve vaccinations for the youngest children as soon as this week. But it will likely be months before a significant percentage of kids get shots.

"At this point, these little ones have no protection at all," said Ellen Dietrick at Temple Beth Shalom. "There's nothing. And some can't even wear masks."

She emphasized that child care staff are also at risk.

"These teachers are going to a work environment where no one is vaccinated. They are the only vaccinated individual in a room of 20 people," Dietrick said. "So protecting them is really critical. I mean, we have to protect them or we can't run the program. If they are out sick, that affects 20 families."

The state of child care funding is uncertain

The uncertainty over testing comes as child care programs also face the possible end of a state grant program that has helped keep them open during the pandemic.

A system known as C3 grants (which stands for Commonwealth Cares for Children) was set up last year using federal funds to help keep child care organizations from closing due to a loss of revenue because of the pandemic. Now that the one-time federal funding is gone, the grant program is set to expire this month.

"It has been a godsend," William Eddy, executive director of the Massachusetts Association of Early Education and Care, said of the C3 grants. "It helped programs that were on the verge of collapse stay alive."

Ellen Dietrick said the grants have been enormously helpful to programs like hers in Needham.

"Most people are using it to pay for staff salaries, bonuses, anything to keep our teachers," Dietrick said. "That is the most important thing."

Others used the grants to help when they got behind on rent while closed because of the pandemic, she said. And programs have come to rely on the funds.

"Many of us don't know how we'll continue without getting the funding for next month," she said. "And I mean, we're talking about in three weeks."

The future of the grant program depends on where things land in current budget negotiations between the state Senate and House of Representatives, Eddy said. That budget is due at the end of the month.

"We asked for them to continue [the C3 grant program] for the six to eight months, and hope they do," Eddy said.

The Massachusetts Legislature is negotiating what could be a boost in funding for early education after a special legislative commission issued a report in March that called for a significant increase.

"The commission recommendation said there are over 230,000 children who are currently eligible for subsidy care who are not receiving it right now," Eddy said. "And so they said we should prioritize trying to help them. They came up with recommendations to prioritize the early educator workforce, which is struggling mightily."

That prioritization is beginning to be seen in draft House and Senate budgets, Eddy said, and he's closely watching what comes out of their negotiations.

"I'm hopeful that the state Legislature is going to put a record investment into early education programs and our workforce in the FY23 state budget," Eddy said.

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Child care providers concerned as state phases out COVID-19 testing support - GBH News

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