Category: Covid-19

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Indiana man hospitalized with COVID-19 urges others to get vaccinated – IndyStar

September 27, 2021

Indiana man wound up in hospital, wants everyone to get COVID vaccine

Mark Green, a COVID-19 patient regrets not getting vaccinated on Friday, Sept. 24, 2021, at Hancock Regional Hospital, Greenfield Ind.

Michelle Pemberton, Indianapolis Star

When Mark Green,who has an underlying lung condition,left his appointment with pulmonologist Robert Klinestiver in July, the physician hoped he had convinced his patient to get a COVID-19 vaccine.

But Green, like so many in Indiana, had doubts, deep ones, about the vaccine, so strong that even an extensive talk with his doctor could not allay his fears.

When Green and Klinestiver next met about two months later, Green lay in bed in Hancock Regional Healths critical care unit, battling a severe case of COVID. The 58-year-old New Palestine man greeted his physician wanly and sheepishly.

'A vicious cycle': COVID-19, workforce shortage puts further pressure on nurses

By this point, Green has no doubts about the vaccine.

Pausing to take deep breaths from the high flow oxygen device to which he was tethered, Green said he would like to tell everyone to "just go get the vaccine."

He said there's no reason to hesitate.

I didn't take the vaccine myself because I was scared, the unknown, what would happen two or three years down the road, Green said. Once I got sick, I kind of realized, it didnt matter what happens down the road. It matters what happens now. … You got to weigh the here and now or maybe never.

Before, Green said he was worried about the one little dose of vaccine. Over the past 11 days in the hospital, though, he has had what he describes as pounds of medicine pumped into him to keep him alive. And, he said, hes concluded that even if there are no guarantees that nothing will go wrong with the vaccine, its better to be vaccinated now and worry later.

On Friday, as Green's wife, Amy, and a nurse kept watchful eyes on the machine pinging out his heart rate and oxygen saturation level, Green recorded a video with IndyStar in the hopes that he could change at least one persons mind about the vaccine.

Green has heard ofother patients with his condition in the hospital hooked up to a ventilator and he's hopeful that won't happen to him.

The next few days could prove critical ones for Green, Klinestiver said. Some patients in his condition take a turn for the worse. Others continue to go in the right direction and eventually make it home.

Only time will tell.

Unfortunately, he's gotten to the point where he's as close as you can get to the ventilator without actually needing it. That's the bad news, Klinestiver said. The good news is he's kind of been that way now for a week or two. … He's fighting hard. He's got good attitude. But you know, we just don't know.

Both Mark and Amy Green were againsttaking the vaccine. Amy still isn't sure.

They were worried about the unknown.

They discussed the pros and cons at length. They did not doubt COVID-19 was real; they know people who had been sickened by it, includingMark Greens 88-year-old mother.

Health officials have said repeatedly the vaccine is safe and effective, preventing people from developing severe cases of COVID-19 and dying

But for every argument the Greens heard in favor of the vaccine, it seemed, there was one against. Its development and approval just seemed rushed, Mark and Amy agreed. People had politicized it, and their politics fall on the Republican side of things. Not one doctor could promise him beyond a shadow of a doubt that problems with the vaccine would not arise in the future.

The Greens aren't alone in that thinking, despite the repeated efforts of both public and health officials.

Just more than 55% of eligible peopleare fully vaccinated in this state, according to Indianas vaccine dashboard. That includes about 62% of those in Greens age category of 55 to 59.

Too often, Klinestiver says, his patients say politely 'no thanks' when he tries to convince them to take the vaccine. While Klinestiver says he can understand much of this reluctance, he also knows the flip side of the vaccine: That hospitals have been filling up with COVID-19 patients, sometimes leaving little to no room for others to receive care.

And, almost all of these COVID-19 patients, particularly the very sick, have a singular thing in common: They were not vaccinated.

Thatfrustrates him.

COVID: When Indiana hospitals go on diversion what it means to you, how it's affecting care

When the pandemic first hit, most of the sickest patients were elderly. Now Klinestiver said, the hospital is full of people in their 50s and 40s. Some in their 30s have even died.

Thats the salt in this wound, you know, he said. Its so hard to watch a person in their prime of their lives die.

The Greens had heard all these arguments, but nothing swayed them. Most people they know are not vaccinated. No one in their direct family Mark, Amy, their five adult children is vaccinated.

Marks 88-year-old mother had planned to get vaccinated, but four days before her appointment, she fell and broke her hip, setting off a cascade of health problems, including her own bout with COVID-19 while in rehab.

She recovered.

Neither Mark nor Amy think of themselves as being anti-vaccine. They just had qualms about this particular vaccine, many of which from the outside seem to be largely driven by false information.

The amount of conflicting information made it political, said Amy, who adds she has had flu and pneumonia shots in the past. With this vaccine, however, she said, she felt like the government and officials were shoving it down peoples throats and not giving individuals a choice in whether or not they wanted it.

I think that its the way its advertised, she said. I think it gives people a reason to take pause.

In the end, Amy said, her and Marks decision on whether to get vaccinated came down to one calculus: We were just as scared to get the virus as we were to get the vaccine.

Everything changed when Mark got the virus.

At first, he thought he had picked up a bad stomach virus that was going around. A few days later, though, a COVID-19 test revealed he was positive, and after four days, the virus settled in his chests and lungs.

Two weekends ago, their doctor told Amy she should plan tobring Mark to the hospitalSept. 13.

But that Sunday night, Mark was having too much trouble breathing, and the pulse oximeter they were using to track his progress showed his oxygen levels had dipped dangerously low. Amy didnt wait. Nor did Mark protest.

I just got to the point I didnt care, he said.

As of Friday, Mark had spent a week and a half in the hospital, and even under a best case scenario, he still has a long haul in front of him.

Things could go either way for Mark. He might need that ventilator. He could also recover without it.

Before he can be discharged from the hospital, he will need to be weaned off his current high doses of oxygen, Klinestiver said. He will still be on oxygen when he leaves, just far less than what hes on now. He will need to work on his legs, which have become debilitated during his illness.

Full recovery, if it comes, could take months, said Klinestiver, who had another patient in his 40s, perfectly healthy who ran every day. That patient spent two or three weeks in the hospital on high doses of oxygen, teetering on requiring a ventilator. He avoided that but spent six months on oxygen and only now is beginning to start running again.

Green accepts the path forward is a long one. He wants to return to his work in auto part sales, but he knows that could be months away.

Now,he plans to do his part to persuade others not to wind up where he has been for the past 10 days. He thinks it's crazy the vaccine has been politicized.

Im not pro-vaccine. Im pro-health, he said. The vaccine is what makes you healthy. You get the vaccine, its going to make you healthy, keep you healthy and not let this happen to you.

Contact IndyStar reporter Shari Rudavsky at shari.rudavsky@indystar.com. Follow her on Facebook and on Twitter: @srudavsky.

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Indiana man hospitalized with COVID-19 urges others to get vaccinated - IndyStar

Covid-19 Tracker: Live with it? – Mission Local

September 27, 2021

Good morning, Mission, and welcome to Virus Village, your (somewhat regular) Covid-19 data dump.

Little movement in the numbers over the weekend as the virus digs in.

A number of public health docs, officials and commenters now assume the virus will become endemic, so we have to learn to live with it.

What does an endemic covid mean in practice? Dr. Vinay Prasad from UCSF has some ideas regarding risk management, but the chances of contracting no or mild symptoms instead of serious illness are far improved for the vaccinated than the unvaccinated.

As Delta drags on more studies and observations are coming around. Rather than scare headlines, we are seeing the durability and effectiveness of The Vaccine not only in preventing hospitalization, but in slowing transmission and keeping infection rates down. as demonstrated by data coming from Canada and California.

After a sharply rising and falling, then rising again after the UK reopened, infections are slowly declining, while hospitalizations have stayed low.

In order to vaccinate the rest of the world, much more of the vaccine will be needed. A number of companies have offered to produce generic products, but Pfizer and friends refuse to let a dime of their obscene profits slip from their icy grip.

The worrisome long covid hasnt gone away, though no really knows what it is.

Having a hospital bed is one thing, but without healthcare workers, it wont do much good. For years (decades) management consultants have advised hospitals to cut staff (to improve profits if not healthcare). The pandemic showed some of the problems with close-to-the-bone staffing, and provoked an exodus of healthcare workers we will need no matter what course the virus takes.

Scroll down for todays covid numbers.

The U.S. Centers for Disease Control data used for the chart lags behind the data supplied from the San Francisco Department of Public Health. Here, the vaccination picture continues to be relatively static. As of Sept. 26, DPH still reports more than88 percent of San Francisco residents over 12 have received one dose, and 82 percentare completely vaccinated. On Sept. 26, the seven-day rolling average of shots per day rose to 250. For information on where to get vaccinated in and around the Mission, visit ourVaccination Page.

On Sept. 23, DPH reports there were 64 covid hospitalizations,or about7.3 per 100,000 (based on an 874,000 population). The latest update from DPH says 77 fully vaccinated San Franciscans have been hospitalized (a rate of 12.6 per 1,000 cases, compared to 85.1 per 1,000 cases for those not fully vaccinated) . According to the CDC, there were 46 new admissions for the week ending Sept. 24 (-9.80 percent from the previous week). For the week ending Sept. 24, covid patients accounted for 3.51 percent of hospital beds (no change from the previous week) and 8.89 percent of ICU beds (up 1.57 percent from the previous week). As of Sept. 20, the CDC says that, of more than 180 million vaccinated U.S. residents, 19,136 patients with a covid vaccine breakthrough infection were hospitalized or died (though 19 percent of deaths and 20 percent of hospitalizations did not have symptoms of covid, or their hospitalization or death was not covid-related).

The latest report from the federal Department of Health and Human Services shows Zuckerberg San Francisco General Hospital with 10 covid patients and10 ICU beds available, while across the Mission, CPMC had 4 covid patients and 3 ICU beds available. Of 65 reported covid patients,42were at either SFGH or UCSF.

Since the beginning of the pandemic, the Mission has had 5116 recorded infections, more than any other neighborhood in San Francisco. However, with a rate of 871 per 100,000 residents, it trails Bayview Hunters Point (1,323 per 100,000 residents), Tenderloin and Visitacion Valley.

DPH reports for the week ending Sept. 22, the seven-day rolling average of daily new cases in the city was 100, or approximately 11.4 new cases per day per 100,000 residents (based on an 874,000 population). According to the latest from DPH on Sept. 17, the 7-day average case rate among fully vaccinated residents was 7.2 per 100,000 fully vaccinated residents and 17.4 per not fully vaccinated 100,000 residents.

Did shelter-in-place contribute to infection inequities? Without restrictions during Delta, infection numbers line up much closer to population percentages. So far in September, Whites have had 36.5 percent of recorded infections,Asian residents had22.5 percent, Latinxs19 percent, Blacks8 percent, Multi-racials 2 percent, Pacific Islanders1.4 percentand Native Americans.4 percent of the months recorded infections.

So far in September, the Missions positivity rate is 1.9 percent. Chinatown has the highest September rate at 6.8 percent. Bayview Hunters Point has 3 percent and Lakeshore with 45 percent of its residents vaccinated has 1.4 percent positivity.

Covid-related deaths in San Francisco are always difficult to figure. Over the weekend, DPH added 2 more deaths in September, for a monthly total of 14 so far, bringing the cumulative covid-related death toll to 623. DPH says there are now 11 deaths of fully vaccinated San Franciscans that are due to complications from COVID-19.

Covid R Estimation has raised its estimate of the San Francisco R Number to .88 and lowered its estimate for the California R number substantially to .7. All models in theensemble estimate the San Francisco R Number below 1, with an average of .81, while the average California R Number is .72. The ensemble average estimate for San Francisco has been below 1 since Aug. 3 and for California below 1 since Aug. 30.

The overall population percentages have changed, due to the 2020 Census. For the time being, we will continue to use use the figures provided by SFDPH. So far in September, SF residents between 0-4 account for 3.4 percent of the months recorded infections, those 5-10 6.1 perecent, those 11-13 1.9 percent, those 14-17 1.6 percent, those 18-20 2.3 percent, those 21-24 8.4 percent, those 25-29 14.5 percent, those 30-39 22.6 percent, those 40-49 13.9 percent, those 50-59 10.6 percent, those 60-69 8.2 percent, those 70-79 4.2 percent, and those 80 and above accounted for 2.2 percent of September cases.

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Covid-19 Tracker: Live with it? - Mission Local

Please do the right thing: Biden receives COVID-19 booster shot on camera Monday – FOX 5 Atlanta

September 27, 2021

President Biden receives COVID-19 booster shot on camera

President Biden renewed his calls for Americans to get the COVID-19 vaccine and for eligible citizens to get the Pfizer-BioNTech booster.

WASHINGTON - President Joe Biden received his COVID-19 vaccine booster shot Monday live on camera.

"Boosters are important," Biden said during a news conference ahead of rolling up his sleeve. "The most important thing we need to do is get more people vaccinated."

"This is a pandemic of the unvaccinated," he added.

Biden said he will also travel to Chicago on Wednesday to highlight the importance of businesses issuing their own vaccine requirements.

"Please do the right thing. Please get the shots. It can save your life," he continued.

Biden, who got his first shot on Dec. 21 and his second dose on Jan. 11. At 78, he qualified to receive the booster shot following approval by the U.S. Food and Drug Administration and U.S. Centers for Disease Control and Prevention for those 65 and older.

Biden said he didnt have any side effects from the shots.

Biden received his first two doses with his wife, Jill Biden. Biden said his wife will also receive a booster.

Last week, the president praised U.S. health officials approval of the Pfizer booster, which was also cleared for adults with underlying health conditions and people at increased risk of being exposed because of their jobs.

Biden told reporters on Friday, "Ill be getting my booster shot. Its hard to acknowledge Im over 65, but Ill be getting my booster shot."

The U.S. approval of Pfizers booster shot last week for certain Americans marked a dramatic scaling back of the Biden administrations original plan announced last month to dispense boosters to nearly everyone to shore up their protection against the fast-spreading delta variant.

FILE - US President Joe Biden delivers remarks on the COVID-19 response and the vaccination program at the White House on Aug. 23, 2021 in Washington, DC. (JIM WATSON/AFP via Getty Images)

RELATED: FDA approves Pfizer booster for 65 and older, others at high risk

A CDC advisory panel stressed last week that its recommendations will be changed if new evidence shows more people need a booster.

About 26 million Americans got their last Pfizer dose at least six months ago, about half of whom are 65 or older. It wasnt immediately clear how many more would meet the CDC's booster qualifications.

CDC data show the vaccines still offer strong protection against serious illness for all ages, but there is a slight drop among the oldest adults. And immunity against milder infection appears to be waning months after people's initial immunization.

RELATED: J&J COVID-19 booster 94% effective 2 months after 1st shot, company says

For most people, if youre not in a group recommended for a booster, "its really because we think youre well-protected," said Dr. Matthew Daley of Kaiser Permanente Colorado, a member of the CDCs advisory panel, said last week.

Vice President Kamala Harris, 56, received the Moderna vaccine, for which federal regulators have not yet authorized boosters but they are expected to in the coming weeks.

Data on Johnson & Johnson's boosters are also under review.

RELATED: COVID-19 boosters: WHO chief urges countries halt extra shots for rest of 2021

This story was reported from Cincinnati. The Associated Press contributed.

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Please do the right thing: Biden receives COVID-19 booster shot on camera Monday - FOX 5 Atlanta

COVID-19: What you need to know about the coronavirus pandemic on 27 September – World Economic Forum

September 27, 2021

Confirmed cases of COVID-19 have passed 231.8 million globally, according to Johns Hopkins University. The number of confirmed deaths stands at more than 4.74 million. More than 6.11 billion vaccination doses have been administered globally, according to Our World in Data.

New Zealand is set to allow small numbers of vaccinated travellers to isolate at home instead of in state-run quarantine facilities.

Australian officials have announced plans to ease restrictions in Sydney. Vaccinated residents will initially enjoy more freedoms than those who aren't.

Cuba has exported its three-shot Abdala COVID-19 vaccine for the first time, sending an initial shipment to Viet Nam.

Viet Nam is also set to ease COVID-19 restrictions and allow businesses to restart production in an effort to boost its pandemic-hit economy.

El Salvador is set to begin giving a third dose of COVID-19 vaccine to various groups, President Nayib Bukele announced on Friday.

South Korea's daily new confirmed COVID-19 infections topped 3,000 for the first time, authorities said on Saturday.

The White House said on Friday that millions of federal contractors must be vaccinated by 8 December. The administration will also add clauses to future government contracts mandating inoculations.

Moderna has announced plans to supply 20 million doses of its COVID-19 vaccine to Peru from 2022. The country is yet to approved the jab.

Daily new confirmed COVID-19 cases per million people in selected countries

Image: Our World in Data

The COVID-19 pandemic reduced life expectancy last year by the largest amount since World War Two, according to an Oxford University study.

Life expectancy fell by more than six months compared with 2019 in 22 of the 29 countries analyzed in the study, which spanned Europe, the United States and Chile. There were reductions in life expectancy in 27 of the 29 countries overall.

"The fact that our results highlight such a large impact that is directly attributable to COVID-19 shows how devastating a shock it has been for many countries," said Dr Ridhi Kashyap, co-lead author of the paper, published in the International Journal of Epidemiology.

Men saw greater drops in life expectancy than women in most countries, with the biggest decline among American men, who saw their life expectancy drop by 2.2 years relative to 2019.

World Health Organization Director-General Tedros Adhanom Ghebreyesus has welcomed the commitments made by global leaders who joined a COVID-19 summit last week.

However, Dr Tedros also called for action. "It is clear that commitments alone wont save lives, stop transmission, immunize people, scale-up manufacturing capacity, and ready the world to prevent future health emergencies," he said in a statement.

"What is needed now finally is for commitments to turn into immediate actions to equitably end the pandemic."

The Summit was hosted by US President Joe Biden and took place on the fringes of the UN General Assembly. Participants looked at areas including vaccine supplies, but also access to testing, oxygen and PPE, as well as how to prevent and better prepare for future pandemics.

The COVID Response Alliance for Social Entrepreneurship is a coalition of 85 global leaders, hosted by the World Economic Forum. Its mission: Join hands in support of social entrepreneurs everywhere as vital first responders to the pandemic and as pioneers of a green, inclusive economic reality.

Its COVID Social Enterprise Action Agenda, outlines 25 concrete recommendations for key stakeholder groups, including funders and philanthropists, investors, government institutions, support organizations, and corporations. In January of 2021, its members launched its 2021 Roadmap through which its members will roll out an ambitious set of 21 action projects in 10 areas of work. Including corporate access and policy change in support of a social economy.

For more information see the Alliance website or its impact story here.

Written by

Joe Myers, Writer, Formative Content

The views expressed in this article are those of the author alone and not the World Economic Forum.

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COVID-19: What you need to know about the coronavirus pandemic on 27 September - World Economic Forum

Pfizer testing COVID-19 pill as preventive treatment – WKRN News 2

September 27, 2021

The Pfizer logo is seen at the Pfizer Inc. headquarters on December 9, 2020, in New York City. (Photo by Angela Weiss / AFP) (Photo by ANGELA WEISS/AFP via Getty Images)

NEW YORK Pfizer has started testing its potential COVID-19 treatment as a preventive medicine aimed at warding off the virus if a close contact gets it.

The drugmaker said Monday that it will study the pill it is developing in combination with a low dose of the HIV drug ritonavir in people who are at least 18 years old and live in the same household with someone who is infected.

Pfizer plans to enroll 2,660 people in the late-stage study. Those participating will get either the treatment combination or a fake drug orally twice a day for five to 10 days.

Researchers expect that the use of ritonavir will help slow the breakdown of the potential treatment so it remains active longer to help fight the virus.

If successful, we believe this therapy could help stop the virus early before it has had a chance to replicate extensively, Pfizer Chief Scientific Officer Dr.Mikael Dolsten said in a statement from the drugmaker.

Pfizer Inc. also is studying its potential treatment in people who are already infected with the virus. Its designed to be prescribed at the first sign of infection without requiring patients to be hospitalized. The drugmaker expects to see results from those studies by the end of the year.

The pill aims to block a key enzyme that the virus needs to replicate.

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Pfizer testing COVID-19 pill as preventive treatment - WKRN News 2

The year of understanding: COVID-19 and the humanity of the unvaccinated – The Boston Globe

September 27, 2021

Recently, I came onto a night shift in the ER at the hospital where I work to pick up the baton after a particularly heavy COVID-19 day. The staff was tired, beleaguered, defeated. During sign-out, a physician recounted with a slight smirk a few of the recent COVID patients they had admitted, all unvaccinated (some of whom were hardened COVID deniers), who had died within days of admission. Throughout the night, comments from staff regarding unvaccinated patients struck similar tones: Idiots. Serves them right. What did they expect?

I get it. Were exhausted from something that we, as scientists, view to be a largely preventable cause of over 670,000 deaths in this country. We are unconsciously grieving, if not overtly. But I would posit our grief is not just for the death or suffering weve encountered from COVID, but also for the larger death rattles of the countrys faith in medical science something for which we have each sacrificed tens of thousands of hours, hundreds of thousands of dollars, time with family, and our own mental health. With grief comes blame, and the unvaccinated are easy targets. This is the year of schadenfreude.

I have made it my practice not to belittle unvaccinated patients. Instead of telling them what they should do, I ask them, What questions do you have about the vaccine? Or Whats keeping you from getting the shot?

The response has been eye-opening. First, its clear that patients have come prepared to defend themselves against a verbal assault for not being vaccinated, and the response to these questions is a dropping of their guard, sometimes with a visible wave of relief. Second, and most important, it has given me insight as what is really on their mind which for most is confusion. One unvaccinated, COVID-symptomatic patient told me, I just dont know who or what to believe. Naively, I replied, Trust the doctors and scientists, before realizing that, of course, thats the problem. Naturally, his response was, Well how do you know which ones to trust?

Physicians and health care providers have lived and breathed science for so long that we risk losing the view of the average patient. Scientific literacy in this country is mediocre at best. On top of that, medical practice optimization occurs largely behind the scenes. The battle against COVID has forced the scientific discourse and debate into the open for a population that has, for the most part, previously seen only the final product. Add to that the urgency of COVID treatment and the lightning speed of research that is being released sometimes in advance of the usual peer review processes for the sake of time, and we have a recipe for confusion and distrust. It is therefore natural for one to seek some form of clarification or for someone to put COVID-related science into some degree of context.

And where does the average person go to find this information? Not to the technical medical journals. And therein lies the issue: In times of crisis, people seek counsel from family and the familiar. And Google, Facebook, YouTube, and TikTok. They try to do their own research while having only basic scientific literacy. Enter the grifters. Enter those with a political agenda. Enter the physicians on the fringes who ignore the science in favor of their platform of deworming agents and proprietary supplements. Enter the realm of pseudoscience and rhetoric. This is the year of the anecdote.

For the most part, people are looking for answers, but the cards are stacked against them in this digital world. Every health care provider has had that one ardent unvaccinated conspiracy theorist who refused to believe that COVID is real despite showing them their trashed lungs on the CT scan, all while theyre on high-flow oxygen. Anecdote holding the power that it does, that patient runs the risk of coloring our perception of all unvaccinated patients in this same light. But, instead, my charge to health care providers is this: Take a meaningful pause and ask, How did this person get to this point? And understand that their condition is in part due to the challenges of the common person trying to understand complex medical science and being influenced by those with alternative agendas.

That same night, I diagnosed a young woman, with three young kids, with lung cancer. She was a smoker, and she knew that smoking can cause cancer. How is her situation any different from an unvaccinated person with COVID? How many of us would stand at the bedside in her tragic hour and berate her for smoking? How many of us would, upon learning of someones death from cancer, say flatly, Served her right? If she said. I didnt think it would happen to me, would anyone really say,Whelp, I hope you survive as we walked out the room? These are statements I have heard said to or about unvaccinated COVID patients in a recent week. Clearly, this does nothing to foster that trusted relationship between a physician and their patient.

When I asked my unvaccinated COVID patient what was keeping him from getting the shot, he said he had read online that the vaccine gets into your DNA and he was afraid of what that would mean. So I sat down on his bed and spent a few minutes drawing a picture of a cell and nucleus, and explained in simple terms how mRNA works and why his DNA is not at risk. His next question was, How soon can I get the vaccine? He then called his kids and told them the same, and they asked where they could get the vaccine. While not successful in every encounter, Im optimistic about the ripple effect that these little wins may have. And damn it if we dont need a win now and again. In our most fundamental charge, doctor means teacher. This is the year where we understand. This is the year where we teach.

Dr. William Boroughf is an emergency medicine physician and medical toxicologist in Littleton, Colo.

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The year of understanding: COVID-19 and the humanity of the unvaccinated - The Boston Globe

Sydney’s COVID-19 lockdown to end sooner for the vaccinated – Reuters

September 27, 2021

SYDNEY, Sept 27 (Reuters) - Australian authorities announced plans on Monday to gradually reopen locked-down Sydney, unveiling a two-tiered system that will give citizens inoculated for COVID-19 more freedoms than their unvaccinated neighbours for several weeks.

Movement restrictions across New South Wales, the country's most populous state and home to Sydney, will be lifted gradually between Oct. 11 and Dec. 1 as vaccination rates push through 70%, 80% and 90%.

However, people who are not fully inoculated will be barred from joining the vaccinated to resume community sports, dining out, shopping and other activities until the final date.

"Unlike most cases in the world, if you are not vaccinated you will have to wait at least four or five weeks ... in order to participate in things that the rest of us can participate in," state Premier Gladys Berejiklian said in a televised briefing.

"If you want to be able to have a meal with friends and welcome people in your home, you have to get vaccinated."

Berejiklian did not detail how the block on activity by the unvaccinated would be enforced.

Sydney, along with Melbourne and Canberra, has been in lockdown for several weeks, with the three cities bearing the brunt of a third wave of COVID-19 infections that has taken national case numbers to almost 100,000 - 68% recorded since mid-June. The three states - New South Wales, Victoria and Australian Capital Territory - logged just over 1,500 cases on Monday, most in NSW and Victoria.

At 1,245 deaths, the national fatality rate, however, has slowed due to higher vaccination levels among the most vulnerable.

The Delta-fuelled outbreak has divided state and territory leaders, with some presiding over virus-free parts of the country indicating they will defy a federal plan to reopen internal borders once the adult population reaches 80% vaccination, expected in late October.

In New South Wales, where around 60% of people aged 16 and over are fully inoculated, restaurants, pubs, retail stores, gyms and indoor recreation facilities may reopen on Oct. 11 - days after the state is expected to reach 70% vaccination - with capacity limits.

Once 80% vaccination is achieved, expected a few weeks later, state-wide travel will be allowed. Limits on people attending funerals and weddings will be lifted, and the number of vaccinated people allowed to gather in a home will double to 10.

From Dec. 1, there will be no limits on home and informal outdoor gatherings. Capacity limits will remain at indoor venues, but masks will no longer required. Businesses may impose their own rules regarding customer vaccination.

REOPENING WOBBLES

Neighbouring Victoria has not yet given a date when all residents, including those unvaccinated, may move around without restrictions. The state is however expected to relax some curbs from Wednesday when the number of adults receiving a first vaccine dose tick over 80%.

While businesses and the tourist industry broadly welcomed the New South Wales reopening plan, some advocate groups said vaccination rates were not high enough among vulnerable groups like the indigenous population, people with disabilities and those in regional areas with lower vaccine supply.

"These groups are at higher risk of serious illness and death from COVID and it would be unconscionable to ease restrictions until we are sure people at high risk have at least the same vaccination rate as the broader community," said Australian Council of Social Service CEO Cassandra Goldie in a statement.

Qantas Airways (QAN.AX), which has already said it would require international flight passengers to be fully vaccinated, said it would bring forward its reopening date for flights between Sydney and Melbourne to Nov. 5, from Dec. 1 based on Monday's update.

However, it said it would re-route its Perth-London direct flight until at least April 2022 and suspend most flights between Perth and the east coast states, since Western Australia had not given a border reopening date.

Reporting by Renju Jose and Byron Kaye; Editing by Jane Wardell

Our Standards: The Thomson Reuters Trust Principles.

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Sydney's COVID-19 lockdown to end sooner for the vaccinated - Reuters

Schools without mask mandates are more likely to have COVID-19 outbreaks, CDC finds – CBS News

September 27, 2021

The Centers for Disease Control and Prevention released new studies Friday that show enforcing masks in schools helps reduce the spread of COVID-19.

One study looked at data from schools in Arizona's Maricopa and Pima Counties after they resumed in-person learning in late July for the 2021-22 academic year. The two counties account for roughly 75% of the state's population.

The CDC found that the K-12 schools that did not have mask requirements at the beginning of the school year were 3.5 times more likely to have COVID outbreaks than schools that required all people, regardless of vaccination status, to wear a mask indoors from the first day of school.

Of the 999 schools analyzed in the study, 21% had an early mask requirement, 30.9% enacted a mask requirement between nine and 17 days after the school year began, and 48% had no mask requirement. Of the 191 COVID outbreaks that occurred in those schools from July 15 to August 31, 113 were in schools that did not enforce masks at all. Schools with early mask requirements had the lowest number of outbreaks.

During that time frame, Arizona was experiencing an upward trend of weekly COVID cases, according to Johns Hopkins University.

Another study from the CDC looked at the impact of school mask mandates across the U.S.

Authors looked at data from 520 counties that started school between July 1 and September 4 this year and had at least a full week of case data from the school year. They only looked at counties where all the schools had the same mask policies. Of the 520 counties, 198 had a school mask requirement and 322 did not.

Researchers found that counties that had no mask requirements in their schools had a higher rate of pediatric COVID cases after the school year began than those schools that did have requirements. Schools that required masks, the study found, had 16.32 cases per 100,000 children in the first week of classes; schools without had 34.85 cases per 100,000 children.

Authors did note, however, that all children in the counties were included in the data and not just those who are school-age. They also noted that teacher vaccinate rates and school testing data were not controlled in the analyses, and that the sample size of counties is small.

In both studies, authors reiterated that "consistent and correct mask use is a critical strategy" for preventing the spread of COVID-19.

Teenagers have recently made up the majority of weekly cases, according to the CDC, with elderly adults making up some of the lowest numbers of weekly cases.

The new research comes amid ongoing debates over mask mandates a hot-button issue in some parts of the country.

Several states, including Florida, Texas and Arizona, have attempted to ban school districts from enforcing masks. Meanwhile, schools in Iowa, South Carolina, Tennessee are undergoing investigations from the Department of Education for their mask mandate bans, with the department saying the decision can put students' health in jeopardy.

School board meetingshave become a focal point for mask mandate debates. With many districts weighing their options for new rules to curb the spread of COVID-19, many have jumped in to claim that requiring masks is not necessary and a violation of their rights.

A CBS News poll in August found that while more than half of surveyed parents believe schools should require masks for children, 36% believe they should be optional, and 6% think they shouldn't be allowed at all. Additionally, 52% of surveyed parents think vaccines should not be required for students.

The CDC has maintained that universal indoor masking is an important tool in helping prevent the spread. The agency says all teachers, staff, students and visitors in K-12 schools should wear masks, regardless of their vaccination status.

Li Cohen is a social media producer and trending reporter for CBS News, focusing on social justice issues.

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Schools without mask mandates are more likely to have COVID-19 outbreaks, CDC finds - CBS News

Some COVID-19 Patients Want Ivermectin So Badly Theyre Taking Hospitals To Court – FiveThirtyEight

September 27, 2021

When the suburban Chicago hospital where her mother was being treated for COVID-19 refused to give her ivermectin, Tiffany Wilson had her moved to another hospital. The antiparasitic drug achieved a cult following as a treatment for COVID-19, despite no current evidence it is effective. But that didnt deter Wilson from suing when the next hospital also refused to give her mother, 68-year-old Leslie Pai, ivermectin. And she won. This week, after the hospital obliged a judges injunction ordering it to give Pai ivermectin, Pais heart rate plummeted, hospital doctors said in court documents. The hospital pushed back in court, and Wilson dropped the case, with her lawyers asking the court to lift the injunction while continuing to argue that the ivermectin was, in fact, helping.

Whats most remarkable about Wilsons story is that its not the only one of its kind. In recent months, there have been multiple cases of patients or their families demanding ivermectin as a treatment for COVID-19, not only going to court but also harassing hospital staff. And in at least seven instances, judges have granted these requests, ordering hospitals to either administer the drug or allow other physicians into the facility to administer it. These incidents mark a new era of the pandemic: As hospitals struggle under the weight of new COVID-19 cases, they are also being forced to fight this new battle spurred by an avalanche of fear and online misinformation. The infodemic has officially arrived in the ICU.

Ive never encountered this and Ive been in practice over 40 years, said Dr. Rodney Hood, who chairs the National Medical Associations COVID-19 Task Force on Vaccines and Therapeutics.

In some instances, hospitals refusing to treat patients with ivermectin have faced protests. One case in particular garnered a sizable public response. In 2016, Veronica Wolski, then a 59-year-old Chicagoan, first drew public attention when she waved Bernie Sanders signs from a pedestrian bridge over a highway. Over the last five years, her occupation of the bridge continued but her message shifted to promote the QAnon conspiracy theory, the Big Lie and anti-vaccine sentiments endearing her to the alt-right. And then recently, after Wolski was hospitalized with COVID-19, supporters on QAnon-focused Telegram channels shared contact information for the hospital and began a campaign of calling and emailing to demand Wolski receive ivermectin. This was amplified when L. Lin Wood, the pro-Trump lawyer who filed a number of lawsuits challenging the 2020 election results, got involved, encouraging his followers to do the same. The hospital reported hundreds of emails and calls associated with one patients care, and there was even an in-person protest. Wolski died on Sept. 13.

Along with demands and protests over ivermectin, there have been multiple cases of individuals suing hospitals to force them to treat a COVID-19 patient with the drug. In more than one case, these lawsuits have been successful. A judge in Illinois (separate from the Wilson case) ordered a hospital to allow a patient with COVID-19 to receive ivermectin after her daughter sued for the treatment. In at least two cases in New York, judges made similar orders. In Ohio, a judge ordered a hospital to administer ivermectin to a patient with COVID-19 after his wife sued, but then a different judge overturned that order. Similar cases have been brought forward in California, Kentucky, Louisiana, Delaware and Texas. (Many of these cases have even been brought forward by the same lawyer, as first reported by the Daily Beast.)

The fixation on ivermectin is largely driven by online misinformation and a misrepresentation of what we know about the drug. Ivermectin is an antiparasitic that has been around for decades and is very effective at treating certain parasitic infections, like river blindness. Its effectiveness on viral infections, particularly COVID-19, is still being investigated. Unfortunately, theres not yet good evidence showing its effective in this case, and one of the biggest papers suggesting it could be effective was withdrawn due to ethical conflicts. That said, its not as if ivermectin has been written off; clinical trials to test ivermectins effectiveness against COVID-19 are ongoing, and their results will be carefully monitored by federal agencies and professional groups that help create guidelines for treatment. That same process has led to other existing drugs, like the antiviral remdesivir, getting approval from the Food and Drug Administration for treating COVID-19. But neither the FDA nor the World Health Organization nor the National Institutes of Health currently approve of ivermectin for treating COVID-19.

But misinformation has convinced many people that they know more about how to treat COVID-19 than the medical establishment and experts. The thing is, they dont. The number of studies and the quality of them and the different research methodologies in any field of medicine is always pretty overwhelming. Thats why we have professional societies and regulatory bodies who take all of that evidence into consideration, said Carolyn Bramante, a professor of medicine at the University of Minnesota and the principal investigator on an ongoing randomized clinical trial of ivermectin and other potential COVID-19 treatments.

It can, of course, be a good thing for patients to advocate for their own care. The difference in ivermectin cases is that their advocacy is based on rumors and lies, not on scientific evidence. Though ivermectin has been around for decades, its still a drug and it can have side effects and potentially negative impacts, Bramante said. Not only is there not yet evidence that it works, we also dont know if it could be harmful. That can also cause complications for a hospital system already stretched thin by the pandemic its trying to treat.

You dont get treated based upon what you feel or think, Hood said. There are certain approved treatment regimens for certain diseases. If [what a patient is demanding] doesnt fit within that regimen, then you cannot treat them.

Online, however, proponents of ivermectin tout it as both a prophylaxis and a cure for COVID-19, cherry-picking data from preprint studies and sharing anecdotes of miraculous recoveries. Its an infectious narrative that leads many people to believe the drug ought to be used widely and to wonder if the fact that it isnt is evidence of a conspiracy. Amid the desperate haze of the pandemic, this type of thinking is leading people to extreme actions. All this while another preventive medical intervention, one that has been shown to be highly effective and safe the vaccine is shunned by many of the same people. These lawsuits may represent a precedent of conspiracy-theory-influenced patients using the courts as a cudgel to force medical professionals to practice against their own expertise. Right now, its ivermectin, but whats stopping patients from demanding to be treated with colloidal silver or bleach?

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Some COVID-19 Patients Want Ivermectin So Badly Theyre Taking Hospitals To Court - FiveThirtyEight

Onondaga County to hold Covid-19 booster shot clinics this week – syracuse.com

September 27, 2021

Syracuse, N.Y. -- Onondaga County will hold its first Covid-19 booster shot clinics this week for people at elevated risk of becoming serious ill or dying from the respiratory virus and who have already received two doses of the Pfizer vaccine.

The first clinic will be held from 9 a.m. to 4 p.m. Wednesday, Sept. 29, at the Oncenter at 800 S. State St. A second clinic will be held the next day -- Thursday, Sept. 30 -- at the Oncenter.

The hours for the second clinic have not yet been set and will depend on turnout for the first clinic. We dont know what demand is going to look like, Onondaga County Executive Ryan McMahon said Monday.

The clinics will be held in partnership with Kinney Drugs. They are free and open to those who have received two doses of the Pfizer vaccine at least six months ago and who are:

McMahon said those who have received the Moderna or Johnson & Johnson vaccines are not eligible for the boosters because the federal Centers for Disease Control and Prevention has not approved the use of booster shots from those drug makers.

People must pre-register for the clinics at the countys website, ongov.net, or at the Kinney Drugs website.

Residents may also get the booster shots at their doctors office or at any drug store that is offering Covid-19 vaccines.

In addition, the state is giving Covid-19 booster shots at the Art and Home Center at the State Fairgrounds in Geddes. Appointments can be made on the state website.

Five people in the county died of Covid-19 over the weekend, McMahon reported. Three men in their 40s, 50s and 80s -- all with underlying medical conditions -- died. A woman in her 50s with no underlying conditions and a woman in her 60s with an underlying condition died.

McMahon said he did not know if any of those who died were vaccinated.

The deaths bring to 767 the number of county residents who have died from disease during the coronavirus pandemic.

Thirty-one more Covid-19 patients were admitted to hospitals over the weekend. Fifty-one percent of them were unvaccinated, McMahon said.

He said 22, or 92%, of the 24 Covid-19 patients in the county who are in intensive care units were unvaccinated.

Health experts say the best way for people to avoid becoming seriously ill or dying from Covid-19 is to get vaccinated.

McMahon said 348 people in the county tested positive for Covid-19 on Saturday, 188 on Sunday and 169 on Monday.

Got a tip, comment or story idea? Contact Rick Moriarty anytime: Email | Twitter | Facebook | 315-470-3148

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Onondaga County to hold Covid-19 booster shot clinics this week - syracuse.com

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