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lmunch

White House Blocks New Coronavirus Vaccine Guidelines - The New York Times - 0 views

  • The F.D.A. proposed stricter guidelines for emergency approval of a coronavirus vaccine, but the White House chief of staff objected to provisions that would push approval past Election Day.
  • The vaccine guidelines carry special significance: By refusing to allow the Food and Drug Administration to release them, the White House is undercutting the government’s effort to reassure the public that any vaccine will be safe and effective, health experts fear.
  • A main sticking point has been the recommendation that volunteers who have participated in vaccine clinical trials be followed for a median of two months after the final dose before any authorization is granted, according to a senior administration official and others familiar with the situation, who spoke on the condition of anonymity
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  • The testing and release of a vaccine is an issue that has gained wide national attention. Mr. Trump has repeatedly misrepresented how quickly a vaccine might be available to most Americans, promising a major breakthrough in vaccine development as early as this month.
  • Staff members at the budget office scrutinize the documents for statements that could undercut the president’s public message that the administration either has the pandemic under control or will soon, according to former and current federal officials.
  • Some vaccine makers, including Johnson & Johnson, have publicly indicated that they will follow the agency’s recommendations, regardless of the White House’s actions.
  • In addition to the two-month follow-up period, the guidelines stated that there should be at least five cases of severe infection in the placebo group as evidence that a vaccine is effective in preventing more than just mild to moderate illness. About 10 percent of Covid-19 cases are considered severe.
  • Top White House officials are blocking strict new federal guidelines for the emergency release of a coronavirus vaccine, objecting to a provision that would almost certainly guarantee that no vaccine could be authorized before the election on Nov. 3, according to people familiar with the approval process.
  • Facing a White House blockade, the Food and Drug Administration is seeking other avenues to ensure that vaccines meet the guidelines. That includes sharing the standards — perhaps as soon as this week — with an outside advisory committee of experts that is supposed to meet publicly before any vaccine is authorized for emergency use.
  • The Food and Drug Administration submitted the guidelines to the Office of Management and Budget for approval more than two weeks ago, but they stalled in the office of Mark Meadows, the White House chief of staff. Their approval is now seen as highly unlikely.
  • “The public must have full faith in the scientific process and the rigor of F.D.A.’s regulatory oversight if we are to end the pandemic,”
  • Mr. Trump publicly cast doubt on whether the guidance would be approved. “We may or may not approve it,” he said, suggesting that the regulatory action “was a political move more than anything else.”
  • A survey published last month by the Pew Research Center found that 51 percent of Americans would either probably or definitely take one, down from 72 percent in May.
Javier E

'Traditional Masculinity' Can Be Harmful, Psychologists Find - The Atlantic - 0 views

  • This week, the American Psychological Association, the country’s largest professional organization of psychologists, did something for men that it’s done for many other demographic groups in the past: It introduced a set of detailed guidelines for clinicians who treat men and boys.
  • The guidelines’ development began in 2005, and has included input from more than 200 physicians and researchers.
  • “men are struggling,” he says. “The recession has hit men harder than women, men are less likely to graduate from college, men are more likely to complete suicide than women.” To help patients, the guidelines assert, psychologists need to understand what’s making their lives untenable. For a lot of men, it might be the harsh cultural expectations that can come along with manhood itself.
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  • What exactly “traditional masculinity” means depends on who’s talking about it.
  • In science, the term refers to a specific set of traits and behaviors that are considered culturally appropriate for manhood, some of which can become harmful in certain cases. When that happens, it’s “an extreme form of stoicism, dominance, violence, and aggression,” according to McDermott. But he’s quick to note that in many situations, more moderate expressions of those traits, along with other masculine ideals, are totally healthy and advantageous to people of all genders.
  • In popular culture, meanwhile, “traditional masculinity” has a fuzzier, broader meaning, which generally encapsulates whatever the person reading or saying it associates with being a man
  • When an article in the APA’s Monitor magazine characterized traditional masculinity as “on the whole, harmful,” writers for conservative media outlets including National Review and Fox News saw it as an attack
  • “As we survey a culture that is rapidly attempting to enforce norms hostile to traditional masculinity, are men flourishing?” asks the columnist David French. “And if men are struggling more the farther we move from those traditional norms, is the answer to continue denying and suppressing a boy’s essential nature?”
  • “It’s positioning traditional masculinity as a problem to be solved,” he says. “If you’re a man who holds traditional values, why would you go see a psychologist when the starting point is that traditional masculinity is the problem?
  • “Part of the problem among men is that one of the markers of traditional masculinity is independence and rejection of help.”
  • McDermott says that the guidelines are “meant to protect men, because studies indicate that men receive quite a lot of gender bias in therapy. These are stereotypes that men experience, and when therapists buy into them, that can cause serious problems.” For example, if a male patient wants to address problems with violence or aggression, seeing a therapist who believes men are resigned to those traits probably won’t get him the help he needs
  • “precarious masculinity.” In American culture, Vandello points out, manhood generally has to be earned and maintained through actions in a way that womanhood doesn’t. That constant test is where harm can fester, he says: “Proving your manhood can be done through risky, aggressive, and violent behavior. And another response is the shaming and bullying of men who don’t fit the masculine mold.”
  • McDermott hopes that the guidelines help doctors see their male patients as a little more human. “We have a chance here to understand men as multidimensional individuals,” he says. “There are many different ways of being masculine.”
anniina03

Who Gets Tested for Coronavirus? - The Atlantic - 0 views

  • For more than a week, federal officials have promised that tests for the new coronavirus would soon be widely available. “Anyone who wants a test can get a test,” President Donald Trump said during a visit to the Centers for Disease Control and Prevention last week.
  • But the majority of Americans still cannot get tested, as interviews with doctors, patients, and dozens of state public-health officials reveal. While the most stringent federal guidelines are gone, a chaotic patchwork of rules now governs who can and cannot get a COVID-19 test. In many states, symptomatic patients still cannot get tested for the coronavirus unless they meet certain limited criteria—even if their doctor wants to test them.
  • Under the most widely used criteria, only people who have either traveled recently or have had known contact with a laboratory-confirmed COVID-19 patient can get tested, even if they have all the symptoms of the disease.
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  • The rules almost certainly mean that the United States is still greatly understating the number of people nationwide who are sick with COVID-19, experts say. There are more than 1,800 discovered coronavirus cases in the United States, but estimates of the outbreak using statistical and genetic models suggest that thousands of people are already sick.
  • The CDC guidelines—which do not carry legal force—allow for testing a wider array of patients than is currently allowed under many state-level rules. Under guidelines updated earlier this week, the agency noted that “priorities for testing” may include severely ill hospitalized patients with no other diagnosis; symptomatic adults who are older or who have a complicating factor, such as heart disease or a suppressed immune system; and any patient who had close contact with a “suspect or laboratory-confirmed” COVID-19 patient.
  • But the guidelines may also keep doctors from understanding the “local epidemiology”—that is, the extent of the coronavirus’s spread—in their own region.
  • Most state guidelines do not apply to tests conducted by private laboratory firms that do routine medical testing, such as Quest Diagnostics and LabCorp. Those firms say they can test 5,000 people a day, combined, but they take three to four days to deliver results, compared with 24 hours for a state public-health or on-site hospital lab test.
katherineharron

CDC releases highly anticipated guidance for people fully vaccinated against Covid-19 -... - 0 views

  • New guidelines from the US Centers for Disease Control and Prevention say people fully vaccinated against Covid-19 can safely visit with other vaccinated people and small groups of unvaccinated people in some circumstances, but there are still important safety precautions needed.
  • "Covid-19 continues to exert a tremendous toll on our nation. Like you, I want to be able to return to everyday activities and engage with our friends, families, and communities," CDC Director Dr. Rochelle Walensky said at the White House briefing Monday. "Science, and the protection of public health must guide us as we begin to resume these activities. Today's action represents an important first step. It is not our final destination."
  • The CDC defines people who are fully vaccinated as those who are two weeks past their second dose of the Moderna and Pfizer Covid-19 vaccines or two weeks past a single dose of the Johnson & Johnson vaccine.
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  • The new CDC guidance says fully vaccinated people can:Read MoreVisit other vaccinated people indoors without masks or physical distancingVisit indoors with unvaccinated people from a single household without masks or physical distancing, if the unvaccinated people are at low risk for severe disease.
  • Skip quarantine and testing if exposed to someone who has Covid-19 but are asymptomatic, but should monitor for symptoms for 14 daysThis means that vaccinated grandparents may finally feel comfortable visiting their unvaccinated grandchildren and giving them a big hug, especially if they're local -- the CDC still says people should avoid travel -- and as long as none of the unvaccinated people in that household are at risk for severe Covid-19.
  • However, people who are fully vaccinated still need to take precautions in many scenarios. The guidelines say fully vaccinated people must:Wear a mask and keep good physical distance around the unvaccinated who are at increased risk for severe Covid-19, or if the unvaccinated person has a household member who is at higher riskWear masks and physically distance when visiting unvaccinated people who are from multiple households.
  • If fully vaccinated people live in a non-health care congregate setting, such as a group home or detention facility, they should quarantine for 14 days and get tested if exposed to someone with a suspected or confirmed Covid-19 case.The guidelines say that the risk of infection in social activities like going to the gym or restaurant is lower for the fully vaccinated. However, people should still take precautions, as transmission risk in these settings is higher and increases the more unvaccinated people are involved. So wear that mask on the treadmill, and if dining out, keep it on while waiting for your meal
  • Walensky said CDC travel guidelines will remain the same for the vaccinated until there is more data about how much or how little vaccinated people can transmit the virus to others. She added that a "larger swath" of the population will also need to be vaccinated before it's really safe. About 90% of the country is still not vaccinated, Walensky said. Travel brings too much exposure to crowds and the spread of variants is also a real concern.
  • "We are here in no small measure because of the safety protection that many, many Americans have taken with regard to their family, friends and neighbors," Zients said. "We ask people to continue to do that so we can get there, as quickly and as permanently as possible."There are now 30 million people in the United States who are fully vaccinated, but the United States still averaged more than 60,000 cases per day over the last seven days, according to Johns Hopkins University.
  • "We continue to have high levels of virus around the country, and more readily transmissible variants have now been confirmed in nearly every state, while we work to quickly vaccinate people more and more each day, we have to see this through," Walensky said Monday. "Let's stick together. Please keep wearing a well fitting mask and taking the other public health actions we know work to help stop the spread of this virus."
katherineharron

Fauci says Covid guidelines 'will be much more liberal' by July 4 if US cases drop - CN... - 0 views

  • Federal Covid-19 guidelines "will be much more liberal" by the Fourth of July if US cases drop as more Americans are vaccinated, Dr. Anthony Fauci said Sunday.
  • "If by the time we get to the Fourth of July, with the rollout of the vaccine, we get the level of infection so low -- I'm not going to be able to tell you exactly what the specific guidelines of the (US Centers for Disease Control and Prevention) are, but I can tell you for sure (guidelines) will be much more liberal than they are right now about what you can do," the director of the National Institute of Allergy and Infectious Diseases told CNN's Jake Tapper on "State of the Union."
  • people fully vaccinated against Covid-19 can safely visit with other vaccinated people and small groups of unvaccinated people in some circumstances.
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  • The agency is still urging unvaccinated Americans to socially distance from people who don't live in their home, wear masks and avoid crowds, measures that have been critical to slowing the spread of the deadly virus over the last year.
  • Fauci also warned that the US could see a situation similar to that in Italy, where a surge in cases due to new variants and other issues caused the government to announce a new lockdown starting Monday
  • "They had a diminution of cases. They plateaued and they pulled back on public health measures," he said. "They've opened restaurants. They've opened some of the bars. The younger people particularly stopped wearing masks. All of a sudden you have a surge that went right back up."
  • And pressed by Tapper on research that suggests no significant difference in coronavirus spreading in schools where students were six feet apart versus three feet apart, Fauci said the findings do indicate to him that three feet of distancing is good enough and that the CDC is aware of the new data.
  • Appearing later on the program, Maryland Gov. Larry Hogan, a Republican, weighed in on the slow pace of his state's vaccine rollout, telling Tapper that Maryland can meet Biden's plan to order states to allow all adults to receive vaccines by May 1 only if they receive more doses from the federal government.
  • In announcing his plan last week, Biden laid out new steps the administration believes makes the May 1 timeline realistic, including expanding the types of professionals who are able to administer vaccine shots. Dentists, veterinarians and paramedics will all be included in the new approved list.
anonymous

Brexit means drifting apart but we don't want to build a wall - Tusk - BBC News - 0 views

  • Donald Tusk has insisted the EU "does not want to build a wall", but Brexit means "we will be drifting apart".The EU Council president said Theresa May wanted to "demonstrate at any price that Brexit could be a success", but that was not the EU's objective.
  • The draft European Council guidelines call for zero-tariff trade in goods - where the EU has a surplus.The document also says access for services will be limited by the fact that the UK will be outside the EU and will no longer share a common regulatory and judiciary framework.The draft guidelines repeat EU warnings that there can be "no cherry-picking" of participation in the single market for particular sectors of industry.
  • She also said: "We will also want to explore with the EU, the terms on which the UK could remain part of EU agencies."This appears to be in conflict with the EU draft guidelines, although BBC Research has found several examples of non-EU members participating - as a member or observer - in EU agencies and bodies, such as the European Environment Agency and the European Medicines Agency.
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  • "Not only is it possible to include financial services in a trade deal, but this is very much in our mutual interest to do so."But Donald Tusk appeared to reject the UK proposals. The EU says the UK will be treated like any other "third country" after Brexit.Asked about the EU guidelines, which also warn of the "negative economic consequences" of Brexit, Mr Hammond said: "It does not surprise me remotely that what they have set out this morning is a very tough position. That's what any competent, skilled and experienced negotiator would do."
  • The leaders of the remaining 27 EU states must approve the plans at a Brussels summit on 22 March, setting the template for chief negotiator Michel Barnier for talks with the UK about their future relationship.The UK is due to leave the EU at the end of March 2019, and both sides have said they would like a deal on their future relationship to be agreed by this autumn to allow time for parliaments to approve the deal before Brexit happens.
  • The European Parliament document, which may be changed before it is adopted, says non-EU members - even if very closely aligned to the bloc - cannot expect the same rights and benefits as EU members.
Javier E

Opinion | The Fight Over Men Is Shaping Our Political Future - The New York Times - 0 views

  • Steven Pinker, a professor of psychology at Harvard, replied to my inquiry with a detailed critique of the A.P.A. guidelines.“The report is blinkered by two dogmas. One is the doctrine of the blank slate” that rejects biological and genetic factors, Pinker wrote, adding thatThe word “testosterone” appears nowhere in the report, and the possibility that men and women’s personalities differ for biological reasons is unsayable and unthinkable.The other dogma, Pinker argued,is that repressing emotions is bad and expressing them is good — a folk theory with roots in romanticism, Freudian psychoanalysis, and Hollywood, but which is contradicted by a large literature showing that people with greater self-control, particularly those who repress anger rather than “venting,” lead healthier lives: they get better grades, have fewer eating disorders, drink less, have fewer psychosomatic aches and pains, are less depressed, anxious, phobic, and paranoid, have higher self-esteem, are more conscientious, have better relationships with their families, have more stable friendships, are less likely to have sex they regretted, are less likely to imagine themselves cheating in a monogamous relationship.
  • In Pinker’s view, the A.P.A. guidelines fail to recognize thata huge and centuries-long change in Western history, starting from the Middle Ages, was a “Civilizing Process” in which the ideal of manhood changed from a macho willingness to retaliate violently to an insult to the ability to exert self-control, dignity, reserve, and duty. It’s the culture of the gentleman, the man of dignity and quiet strength, the mensch. The romantic 1960s ethic of self-expression and escape from inhibitions weakened that ethic, and the A.P.A. report seems to be trying to administer the coup de grâce.
  • Pinker suggested rather thatOne could argue that what today’s men need is more encouragement to enhance one side of the masculine virtues — the dignity, responsibility, self-control, and self-reliance — while inhibiting others, such as machismo, violence, and drive for dominance.
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  • McKelley rejectedthe implication that the goal is to eliminate male characteristics. The real implication is that rigid adherence to extreme expression of a few select masculine norms is related to poorer health outcomes.In fact, he argued, the guidelines specifically encourage a kind of competitiveness, citing a section that reads,Active play between fathers and children has a functional element correlated with several positive child outcomes, such as competitiveness without aggression, cooperation that buffers anxiety, healthy experimentation, social competence, peer acceptance and popularity, and a sense of autonomy.
  • McKelley said hewould love to have someone argue that “competitiveness without aggression” is somehow undesirable. That sounds exactly like redirecting traits toward more productive activity and behavior.
  • There is a strikingly different approach to the debate over masculinity in a different branch of academic inquiry. As David Autor, an economist at M.I.T., wrote in response to my inquiry:The greatest adverse shock to the psychosocial welfare of U.S. men has not stemmed from dysfunctional notions of masculinity (not that these are above reproach) nor from #MeToo (which was long overdue) but from deep secular labor market forces — both technological and trade-induced — that have over nearly four decades reduced the demand for skilled blue collar work.The effects of these economic changes, Autor wrote, have been devastating:These forces have dramatically eroded the earnings power, employment stability, social stature, and marriage market value of non-college men. The ensuing dysfunction touches not just in earnings and employment but also male idleness, dysfunctional and destructive behavior (e.g., drug and alcohol abuse), and the erosion of two-parent families, which, research suggests, facilitate children in becoming successful adults.
  • Hibbing continued: What some men traditionally brought to the table is no longer required so they must change. That is not easy but so it goes.The men most negatively affected by changing economics, according to Hibbing, are also those most often inclined to reject the fact that “government is the best source for providing assistance and retraining in the face of these changes.” Instead, these men “resist such assistance and feel they are entitled to the arrangements of the past.”
  • Many Republicans believe gender roles to be distinct and that categorical denial of hormonal or biological underpinnings to sex differences is erroneous — while simultaneously voicing doubts about the legitimacy of the science of evolution
  • Many Democrats defend the basic theory of evolution but remain wary of, if not hostile to, biological explanations of human behavior, in part because of their belief in the efficacy of government or other societal intervention to change behavior.
  • The pressures to conform to conservative orthodoxy on the right and to liberal orthodoxy on the left sometimes seem to preclude reasonable compromise — that nature and nurture interact endlessly.
brickol

Trump Says He Will Label Regions by Risk of Coronavirus Threat - The New York Times - 0 views

  • President Trump said Thursday that he planned to label different areas of the country as at a “high risk, medium risk or low risk” to the spread of the coronavirus, as part of new federal guidelines to help states decide whether to relax or enhance their quarantine and social distancing measures.
  • But in a video teleconference with governors to discuss the response to the virus, and in a television appearance late Thursday night, Mr. Trump struck a less conciliatory tone, criticizing some of them instead for “taking” from the federal government.
  • Mr. Trump previewed the new set of federal guidelines in his letter as the death toll from the virus in the United States passed 1,000, and in hot spots like New York, 100 people had died because of the virus in one day. Gov. Andrew M. Cuomo of New York said on Thursday that the worst days and weeks of the crisis were still ahead.
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  • Earlier in the week, he said he wanted to reopen the country for business by Easter, on April 12, despite widespread warnings from health officials that the worst effects of the virus were still weeks away and prematurely lifting social distancing guidelines would result in unnecessary deaths.
  • As a practical matter, however, Mr. Trump does not have the power to decide whether the country can reopen. He can issue federal guidelines, but the decision of whether to return to business as usual is up to each state.
  • But public health experts warned that there needed to be a nationwide approach to fighting the spread of a virus that could easily move around the country just as it has done around the globe. And many expressed horror at the idea of pulling back on mitigation efforts too early.
bluekoenig

How Hospitals Could Decide Who Gets a Ventilator During the Coronavirus Pandemic - YouTube - 0 views

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    This is a video about one of the scariest aspects of this Coronavirus outbreak, who is allowed to go on a ventilator in the case of shortages in America's hospitals and how do hospitals make that decision? From where we stand now, this isn't a decision we need to make right away, but doctors in New York state with the Department of Health are looking to guidelines they created before to help doctors make those decisions should the time come. The guidelines state that all ventilators should be reserved for the purpose of the disease, meaning no more elective surgeries and assessing stockpiles from both the state and country and that their use should be on the people sick enough to need a ventilator, but generally well enough that the ventilator will actually help them recover as opposed to just keeping them alive. The guidelines state that the decision to use or not use a ventilator on a patient would be made by a panel of unbiased and unassociated doctors who make that decision based on the information they are given about the patient and the benefit the patient would have from that ventilator. These guidelines are not in place yet and they are voluntary but it's extremely important that we have them so the most people can come out of this epidemic alive and well and the doctors and nurses on the front lines who are already overstretching themselves can make sound decisions they can feel more comfortable with. These are extremely hard choices that no one should have to make but in the case of an epidemic like this one, these may be choices that have to be made with the worst of consequences.
aidenborst

Dr. Sanjay Gupta: The slow road back to normal starts with a first step - CNN - 0 views

  • One of the biggest sources of stress -- other than the very real fear of having someone we love get sick with Covid-19, or coming down with it ourselves -- is keeping our distance from friends and loved ones. It's becoming increasingly clear that the isolation we have all endured has taken a remarkable toll.
  • This was starting to sound like it was going to work, and that my parents should be able to safely visit, even though my kids or wife haven't been vaccinated. They meet the age requirements and would be considered low risk, both in terms of health and their very limited exposures.
  • Even after talking to the brightest epidemiologists, virologists, infectious disease experts all over the world, I wasn't 100% sure on where the line in the sand for acceptable level of risk was drawn. And so we held off -- but still, I daydreamed of the day.
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  • And on Monday, the US Centers for Disease Control and Prevention brought that moment into clearer focus. The agency came out with its first set of guidance about what fully vaccinated people can now do.
  • My parents had a significant emotional burden lifted after they were vaccinated, because they are now approximately 95% protected against getting severely ill from Covid-19. But like the rest of the country, they are restless and want to do something with their newly vaccinated status. That is why they called me right after they saw the news report about new recommendations from the CDC to ask me what it all meant. I laid out the good news for them, and the caveats as well.
  • In a major step, the CDC said people who are fully vaccinated against Covid-19 can safely visit with other fully vaccinated people in private settings without masks, without social distancing and without having to be outdoors.
  • Additionally, however, the CDC guidance now allows for fully vaccinated people to visit indoors with unvaccinated people from a single household without masks or physical distancing, if the unvaccinated people are at low risk for severe disease. That last part is important.
  • It's a theme I hear from CNN readers, viewers and listeners all the time: When am I going to be able to see my grandchildren, my elderly father, my sister and her family? Most everybody has somebody they long to hug, to hold close and see in person.
  • As I kept digging into the guidelines and speaking with members of the Biden administration's Covid-19 task force, it became increasingly clear that a visit was looking possible, but with a few strings attached.
  • And, perhaps most notably, fully vaccinated people are also still being discouraged from traveling, something that throws a monkey wrench into my fantasy of an imminent family reunion.
  • "I think the guidelines are in a good middle ground," she said. "We're starting to go back to normal now, but it's not going to be flipping a switch... We will make that journey towards normalcy, or at least a new normal, as more people get vaccinated."
  • At 10% vaccinations we have this guidance. At 20-30%, we will have new guidance," he said, noting that there's going to be a distinct shift in the messaging of what people can and cannot do -- moving away from more binary messaging to one that describes activities as a range of low, medium and high risk.
  • Even as Walensky delivered the hopeful new guidance, she also noted the country still stands at a seven-day average of about 59,000 new cases of Covid-19 per day -- a rate that has leveled off somewhat, instead of continuing to steadily decline. And there are close to 2,000 deaths per day. So, she and other experts warn, any easing of restrictions is going to have to be gradual.
  • So where does that leave my family reunion plan? Unless my parents make the long drive to see us, we are going to hold off on a visit for now. With more than 2 million people getting vaccinated a day, however, another 20% of the country could be vaccinated by the end of the month. And, that will probably lead to a further relaxing of CDC guidelines and maybe allow my parents a plane ride instead, which means a possible visit to celebrate their wedding anniversary this spring!
tsainten

White House Blocks New Coronavirus Vaccine Guidelines - The New York Times - 0 views

  • Top White House officials are blocking strict new federal guidelines for the emergency release of a coronavirus vaccine, objecting to a provision that would almost certainly guarantee that no vaccine could be authorized before the election on Nov. 3, according to people familiar with the approval process.
  • By refusing to allow the Food and Drug Administration to release them, the White House is undercutting the government’s effort to reassure the public that any vaccine will be safe and effective, health experts fear.
  • “The public must have full faith in the scientific process and the rigor of F.D.A.’s regulatory oversight if we are to end the pandemic,”
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  • The conflict began almost as soon as the Food and Drug Administration submitted the guidelines to the White House budget office on Monday, Sept. 21.
  • Speaking to reporters on Sept. 23, Mr. Trump publicly cast doubt on whether the guidance would be approved. “We may or may not approve it,”
  • Mr. Trump has repeatedly misrepresented how quickly a vaccine might be available to most Americans, promising a major breakthrough in vaccine development as early as this month.
  • Polls suggest that Americans are increasingly wary about taking a coronavirus vaccine: A survey published last month by the Pew Research Center found that 51 percent of Americans would either probably or definitely take one, down from 72 percent in May.
  • Some vaccine makers, including Johnson & Johnson, have publicly indicated that they will follow the agency’s recommendations, regardless of the White House’s actions.
Javier E

How Bad Are Ultraprocessed Foods, Really? - The New York Times - 0 views

  • scientists have found associations between UPFs and a range of health conditions, including heart disease, Type 2 diabetes, obesity, gastrointestinal diseases and depression, as well as earlier death.
  • That’s concerning, experts say, since ultraprocessed foods have become a major part of people’s diets worldwide. They account for 67 percent of the calories consumed by children and teenagers in the United States
  • What are ultraprocessed foods, exactly? And how strong is the evidence that they’re harmful? We asked experts to answer these
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  • Dr. Monteiro and his colleagues developed a food classification system called Nova, named after the Portuguese and Latin words for “new.” It has since been adopted by researchers across the world.
  • Unprocessed or minimally processed foods, like fresh or frozen fruits and vegetables, beans, lentils, meat, poultry, fish, eggs, milk, plain yogurt, rice, pasta, corn meal, flour, coffee, tea and herbs and spices.
  • Processed culinary ingredients, such as cooking oils, butter, sugar, honey, vinegar and salt.
  • If you look at the ingredient list and you see things that you wouldn’t use in home cooking, then that’s probably an ultraprocessed food,”
  • his group includes freshly baked bread, most cheeses and canned vegetables, beans and fish. These foods may contain preservatives that extend shelf life.
  • Ultraprocessed foods made using industrial methods and ingredients you wouldn’t typically find in grocery stores — like high-fructose corn syrup, hydrogenated oils and concentrated proteins like soy isolate.
  • They often contain additives like flavorings, colorings or emulsifiers to make them appear more attractive and palatable.
  • Think sodas and energy drinks, chips, candies, flavored yogurts, margarine, chicken nuggets, hot dogs, sausages, lunch meats, boxed macaroni and cheese, infant formulas and most packaged breads, plant milks, meat substitutes and breakfast cereals.
  • Processed foods made by combining foods from Category 1 with the ingredients of Category 2 and preserving or modifying them with relatively simple methods like canning, bottling, fermentation and baking
  • That has led to debate among nutrition experts about whether it’s useful for describing the healthfulness of a food, partly since many UPFs — like whole grain breads, flavored yogurts and infant formulas — can provide valuable nutrients
  • Most research linking UPFs to poor health is based on observational studies, in which researchers ask people about their diets and then track their health over many years.
  • Why might UPFs be harmful?
  • In a large review of studies that was published in 2024, scientists reported that consuming UPFs was associated with 32 health problems, with the most convincing evidence for heart disease-related deaths, Type 2 diabetes and common mental health issues like anxiety and depression.
  • Such studies are valuable, because they can look at large groups of people — the 2024 review included results from nearly 10 million — over the many years it can take for chronic health conditions to develop
  • She added that the consistency of the link between UPFs and health issues increased her confidence that there was a real problem with the foods.
  • But the observational studies also have limitations,
  • It’s true that there is a correlation between these foods and chronic diseases, she said, but that doesn’t mean that UPFs directly cause poor health.
  • Dr. O’Connor questioned whether it’s helpful to group such “starkly different” foods — like Twinkies and breakfast cereals — into one category. Certain types of ultraprocessed foods, like sodas and processed meats, are more clearly harmful than others
  • UPFs like flavored yogurts and whole grain breads, on the other hand, have been associated with a reduced risk of developing Type 2 diabetes.
  • Clinical trials are needed to test if UPFs directly cause health problems, Dr. O’Connor said. Only one such study, which was small and had some limitations, has been done, s
  • In that study, published in 2019, 20 adults with a range of body sizes lived in a research hospital at the National Institutes of Health for four weeks. For two weeks, they ate mainly unprocessed or minimally processed foods, and for another two weeks, they ate mainly UPFs. The diets had similar amounts of calories and nutrients, and the participants could eat as much as they wanted at each meal.
  • During their two weeks on the ultraprocessed diet, participants gained an average of two pounds and consumed about 500 calories more per day than they did on the unprocessed diet
  • During their time on the unprocessed diet, they lost about two pounds.
  • That finding might help explain the link between UPFs, obesity and other metabolic conditions
  • The Nova system notably doesn’t classify foods based on nutrients like fat, fiber, vitamins or minerals. It’s “agnostic to nutrition,”
  • There are many “strong opinions” about why ultraprocessed foods are unhealthy, Dr. Hall said. “But there’s actually not a lot of rigorous science” on what those mechanisms are
  • Because UPFs are often cheap, convenient and accessible, they’re probably displacing healthier foods from our diets
  • the foods could be having more direct effects on health. They can be easy to overeat — maybe because they contain hard-to-resist combinations of carbohydrates, sugars, fats and salt, are high-calorie and easy to chew
  • It’s also possible that resulting blood sugar spikes may damage arteries or ramp up inflammation, or that certain food additives or chemicals may interfere with hormones, cause a “leaky” intestine or disrupt the gut microbiome.
  • Researchers, including Dr. Hall and Dr. Davy, are beginning to conduct small clinical trials that will test some of these theories.
  • most researchers think there are various ways the foods are causing harm. “Rarely in nutrition is there a single factor that fully explains the relationship between foods and some health outcome,”
  • In 2014, Dr. Monteiro helped write new dietary guidelines for Brazil that advised people to avoid ultraprocessed foods.
  • Other countries like Mexico, Israel and Canada have also explicitly recommended avoiding or limiting UPFs or “highly processed foods.”
  • The U.S. dietary guidelines contain no such advice, but an advisory committee is currently looking into the evidence on how UPFs may affect weight gain, which could influence the 2025 guidelines.
  • It’s difficult to know what to do about UPFs in the United States, where so much food is already ultraprocessed and people with lower incomes can be especially dependent on them,
  • “At the end of the day, they are an important source of food, and food is food,” Dr. Mattei added. “We really cannot vilify them,”
  • While research continues, expert opinions differ on how people should approach UPFs.
  • the safest course is to avoid them altogether
  • to swap flavored yogurt for plain yogurt with fruit, for example, or to buy a fresh loaf from a local bakery instead of packaged bread, if you can afford to do so
  • Dr. Vadiveloo suggested a more moderate strategy, focusing on limiting UPFs that don’t provide valuable nutrients, like soda and cookies
  • She also recommended eating more fruits, vegetables, whole grains (ultraprocessed or not), legumes, nuts and seeds.
  • Cook at home as much as you can, using minimally processed foods
maxwellokolo

New peanut allergy prevention guidelines - 0 views

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    A serious peanut allergy can lead to anaphylaxis and, rarely, even death, which means some parents avoided introducing peanuts to their children. But on Thursday, an expert panel published new guidelines about when to introduce some infants to peanut-containing foods as a way to prevent food allergies, a technique validated by the Learning Early About Peanut allergy, or LEAP, study.
redavistinnell

Tragedy Forges Alliance for Change - The New York Times - 0 views

  • Tragedy ForgesAlliance for Change After a young rugby player died in Northern Ireland, his family anda brain expert set about to establish concussion guidelines in Britain.
  • As a heartbroken Mr. Robinson and his family left the Old Townhall Courthouse in Belfast, Northern Ireland, that day in September 2013, they were told they could slip out the back to avoid the news media. But Mr. Robinson was determined that his son should not die in vain, so he, along with his ex-wife, Karen Walton, and their families, exited through the front, spoke to a scrum of reporters and instantly landed among the most vocal advocates for concussion safety standards in Britain.
  • Within months, Mr. Robinson was meeting with politicians, sports executives, professional athletes and, most important, Dr. Willie Stewart, the foremost scientist on the subject in Britain who formed a bond with Mr. Robinson that has helped produce some of the most comprehensive concussion guidelines in the world.
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  • “It took something high profile to get people to understand, and it needed something in the media to make people aware,” Dr. Stewart said, referring to Benjamin’s death. “Even if it just means we’re preventing another Ben Robinson and not addressing dementia, that’s still very important. We’ve got to get things to change.”
  • Much of what Mr. Robinson and Dr. Stewart have accomplished is second nature in the United States, where concussions have been a growing part of the public dialogue for several years. Coaches and players in many sports are now taught that concussions, brain injuries resulting from a blow to the head or whiplash, can lead to headaches, memory loss, dizziness, sensitivity to light and other problems.
  • After an outcry from scientists, retired players and family members of injured and deceased athletes, the N.F.L. and other leagues have adopted protocols during games to detect concussions, pull players from the field, administer on-the-spot tests and detail when they can return to play.
  • hris Nowinski, a co-founder of the Concussion Legacy Foundation, an American nonprofit group that pushes for safe sports, said that concussion management in Britain lags five to six years behind the United States. Photo
  • “Scotland is a great example of a team of passionate advocates creating change in their community,” he said. “It’s a template that I hope others follow.”
  • Concussions were far from Mr. Robinson’s mind when his son joined his teammates from Carrickfergus Grammar School to play their rivals from Dalriada that day.
  • Soccer was Benjamin’s first love, but when he was 11, he took up rugby, which was mandatory at his new school. Initially, he did not enjoy the sport. But he warmed to it after winning the award for most improved player. He did strength and conditioning drills to add muscle, and arm wrestled with his father.
  • The night before the game, his son watched “Invictus,” the film about South Africa’s victory in the 1995 Rugby World Cup. He slept that night in his uniform. When his mother dropped him off at the field the next day, Benjamin flashed a thumbs-up sign.
  • But just minutes into the second half, Benjamin collided with another player, whose shoulder hit him in the chest, according to Mr. Robinson, who obtained a DVD of the match from the police. His son’s head whipped back, and he fell. The coach came to look at Benjamin, who was on the ground for about 90 seconds, and helped him to his feet. A doctor who was watching his son play for Dalriada briefly walked onto the field but then turned back.
  • As time ran down, Benjamin made a tackle and then collapsed. The game was stopped. Ms. Walton ran onto the field, where Benjamin’s teammate told her that he was out cold. He was rushed to Royal Victoria Hospital in Belfast.
  • When Mr. Robinson and his wife, Carol, arrived at the hospital, he knew the situation was dire from the faces of the staff. His son was on life support. The doctors said that his brain injury looked like it was sustained in a car accident and that he had a slim chance of surviving.
  • Initially, though, a police investigator deferred to the schools when it came to gathering comments from Benjamin’s teammates and opponents. Officials at Carrickfergus declined to discuss the case.
  • Ms. Walton and Mr. Robinson, though, had to piece together much of what happened on their own. One break came while Ms. Walton was visiting her son’s grave — which she said she did every day — and met one of his teammates, who was out jogging. He told her that Benjamin had been knocked out during the match, not just hit at the end, as had been contended.
  • The big break came when a police officer gave Mr. Robinson a copy of a video taken of the match by a student. Mr. Robinson watched the shaky footage repeatedly and confirmed that his son suffered not one big blow, but at least three, and that the coach attended to him several times.
  • Yet she effectively absolved the coach and referee, who were not “made aware of Benjamin’s neurological complaints,” even though the coach can be seen on the video checking on him after a hit during the match. She implied that Benjamin could have let them know about his condition, even though experts say concussion victims often cannot adequately communicate what they are experiencing.
  • Soon after, Mr. and Ms. Robinson, Dr. Stewart and James Robson, the chief medical officer of Scottish Rugby, met with Scotland’s sport and education officials to lobby for change. A concussion-awareness leaflet was produced at the beginning of 2014.
  • It has been an unlikely road for Mr. Robinson and Dr. Stewart, an avid bike rider with no experience as a sideline doctor. But about five years ago, even before Benjamin’s death, Dr. Stewart began to get calls from former professional players and had conversations with Scottish Rugby as it tried to address brain trauma and degenerative brain disease.
  • Still, some sports executives have anonymously challenged Dr. Stewart. In one match in April in London, Oscar, the Brazilian star player on Chelsea who is known by one name, collided violently with the goalkeeper yet was not immediately taken out of the game. There are no concussion spotters at Premier League matches, but team and league officials could watch a replay of the game later. That is why Dr. Stewart — an adviser to the Football Association — was dismayed that Oscar was in uniform three days later, violating the league’s return-to-play guidelines that require at least six days of rest.
  • “I don’t need to stand up in front of a conference of sports medicine and be personally criticized,” he said. “But then I’ll get a call from Peter, who is enthused about something we’ve done with the leaflets, or some research collaborators who are keen to move forward, and I say, ‘Ah, for all the small minds that are critical and obviously trying to deny the inevitable signs, there are a whole bunch of people who are having a positive effect on it.’
  • On a chilly evening in late October, with teenagers practicing on a nearby field, Lianne Brunton, the club’s physical therapist, showed off the test on a tablet computer. At the start of the season, hundreds of youth and adult players are timed as they read aloud a series of numbers on several screens. If a player is suspected of having a concussion during a match, he or she is taken off and asked to read the numbers again. Players who take longer are evaluated further.
  • The test, which is widely used in the United States, is another example of how the grass-roots campaign to improve safety standards after Benjamin’s death has changed attitudes.
brickol

Members of Congress race back for $2.2tn stimulus vote amid fears of delay | US news | ... - 0 views

  • Members of Congress are racing back to Washington, despite social isolation guidelines, out of fear that a lawmaker could delay a Friday vote on the $2.2tn economic stimulus package designed to rush federal aid to workers, businesses and a healthcare system ravaged by the coronavirus.
  • There is no doubt the law has enough support to pass. The Senate approved the bill in a unanimous vote on Wednesday night. House speaker Nancy Pelosi said she expected broad bipartisan support and Donald Trump has said he would sign it into law.
  • On Capitol Hill, Massie dismissed concerns about legislators having to fly back to Washington, noting that he chose to drive and suggesting stranded colleagues might “hitch a ride with a trucker”.
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  • His colleagues are furious. At least two House members have tested positive for coronavirus, while a number of others are awaiting test results or in quarantine after coming into contact with an infected person.
  • Republican congressman Fred Upton of Michigan said he was “driving back to DC to help get this thing over the finish line” while several lawmakers from western states said they were jumping on red-eye flights to make it back in time.
  • “Members are advised that it is possible this measure will not pass by voice vote,” House majority leader Steny Hoyer wrote in an advisory to members on Thursday night. “Members are encouraged to follow the guidance of their local and state health officials, however if they are able and willing to be in Washington DC by 10am [Friday]. Members are encouraged to do so with caution.”
  • “We will be monitoring the number of members in the Capitol and on the floor to ensure we maintain safe social distancing at all times,” they added. “Members who are ill with respiratory symptoms or fever are discouraged from attending.”
  • Members of Congress are racing back to Washington, despite social isolation guidelines, out of fear that a lawmaker could delay a Friday vote on the $2.2tn economic stimulus package designed to rush federal aid to workers, businesses and a healthcare system ravaged by the coronavirus.
  • The desire by House leaders was to pass the bill with a “voice vote” – when everyone in the chamber shouts “aye” or “no” and the loudest group prevails. But any member of Congress can demand a rollcall vote and require a quorum, forcing at least 216 lawmakers to return to Washington in the midst of a pandemic to ensure the bill passes.
  • There is no doubt the law has enough support to pass.
  • His colleagues are furious. At least two House members have tested positive for coronavirus, while a number of others are awaiting test results or in quarantine after coming into contact with an infected person.
  • The House will convened at 9am ET. There will be three hours of debate on the legislation before they attempt to pass the bill by voice vote.
  • If a recorded vote is required, the House is planning to enforce strict social distancing guidelines, allowing members on the floor to vote in small groups to avoid crowding.
brookegoodman

What Matters: Unemployment spikes and Congress moves ahead on $2 trillion in aid - CNNP... - 0 views

  • Washington (CNN)The Senate's historic $2 trillion stimulus package is set for debate on the House floor Friday. The chamber will convene at 9 a.m. to consider the largest emergency aid package in US history in response to the coronavirus outbreak and its economic fallout, following a remarkable 96-0 Senate vote late Wednesday.
  • $250 billion set aside for direct payments to individuals and families, $350 billion in small business loans and $250 billion in unemployment insurance benefits.
  • A $500 billion fund for Treasury to provide loans and support for distressed industries. That includes $25 billion for passenger air carriers, $4 billion for cargo air carriers and $17 billion for businesses that work in national security. The rest of the funds, $454 billion, can be spent as loans to businesses, states and municipalities.
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  • A record number of Americans filed for their first week of unemployment benefits last week as public health guidelines have shuttered businesses and kept workers at home.
  • The key difference between the coronavirus shock compared with past periods of economic distress: it is sudden and impacts virtually every industry and business model around.
  • "The secretary is wrong. We disagree, the numbers are very relevant. People are hurting and they're hurting right now. For someone who gets a paycheck from the government he is disconnected from reality," said Mark Jaffe, CEO of the Greater New York Chamber.
  • More than 200 deaths from the virus were reported Wednesday in the US -- a new high for fatalities recorded in a single day.
  • Trump told US governors on Thursday his administration is preparing to issue new social distancing guidelines based on geographic risk factors that would allow some places to relax restrictions sooner than others. In a letter, Trump said new coronavirus testing capabilities would allow his administration to identify "high-risk, medium-risk and low-risk" counties.
  • Zach got some official government mail concerning coronavirus that credits Trump with his administration's social distancing guidelines, even as he continues to agitate for a quick return to normal.
anniina03

Coronavirus: US overtakes China with most cases - BBC News - 0 views

  • The US now has more confirmed cases of coronavirus than any other country, with more than 86,000 positive tests.
  • Asked about the latest figures at a White House briefing on Thursday afternoon, President Trump said it was "a tribute to the amount of testing that we're doing". Vice-President Mike Pence said coronavirus tests were now available in all 50 states and more than 552,000 tests had been conducted nationwide.
  • Mr Trump has set a much-criticised goal of Easter Sunday, 12 April, for reopening the country. That plan seemed to gather impetus on Thursday as it emerged an unprecedented 3.3 million Americans have been laid off because of the virus. Media playback is unsupported on your device
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  • In a letter to state governors on Thursday, Mr Trump said his team plans to release federal social distancing guidelines that may advise some regions to loosen restrictions.
  • He said the "new guidelines" would create low, medium and high risk zones that would allow the government to advise on "maintaining, increasing, or relaxing social distancing and other mitigation measures they have put in place".
  • On 16 March, he set a 15-day period to slow down the spread of Covid-19 by urging all Americans to drastically scale back their public interactions. But those guidelines were voluntary and did not amount to a national order.
katherineharron

Dan Patrick: 'I'm all in' on risking my health to lift social distancing guidelines for... - 0 views

  • Texas Lt. Gov. Dan Patrick said Monday night that he's "not living in fear" of the novel coronavirus pandemic and is "all in" on lifting social distancing guidelines recommended by public health experts in order to help the economy.
  • The CDC reports that 8 in 10 coronavirus deaths reported in the US are among adults 65 years old and older.
  • "Our country wasn't built to be shut down. This is not a country that was built for this. It was not built to be shut down," the President said during a Monday evening briefing at the White House, even as he acknowledged the effects of coronavirus are likely to worsen.
katherineharron

Covid-19 vaccine: Vaccinated Americans allowed to taste freedom - CNNPolitics - 0 views

  • Exactly one horrific, demoralizing and family-splitting year since darkness descended on America, top public health officials arrived at a (virtual) White House coronavirus strategy briefing on Monday armed with tangible hope.In announcing new US Centers for Disease Control and Prevention guidelines on how fully vaccinated citizens can begin to pick up their lives, they struck a momentous turning point in a pandemic that has killed more than 525,000 Americans.
  • As is the way in the worst public health disaster in 100 years, good news is heavily caveated. Those in the long lines for the vaccine must not let up. Travel, even for those who've been vaccinated, is advised against -- though some prominent medical experts said the CDC is being overly cautious. And the threat of pernicious Covid-19 variants may be about to inflict another surge of death and sickness, again testing the patience of a weary nation
  • While new Covid cases have come down sharply -- they are hovering at around 60,000 a day -- the elevated plateau guarantees many thousands more deaths, especially as more states defy science and risk the return of normality by lifting mask mandates and restrictions before the virus is properly suppressed.
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  • The new President, Joe Biden, will deliver his first prime-time address on Thursday to mark the yearlong mark in the country's struggle with the coronavirus. In addition to giving the country a morale boost and highlighting the light on the horizon, he will hope to showcase his $1.9 trillion Covid-19 relief package, expected to finally pass Congress the day before.
  • Under the new protocols, vaccinated people can visit other vaccinated people indoors without masks or physical distancing. They can also see unvaccinated people from a single household without either precaution if those yet to get the injection are at low risk for severe disease.
  • These guidelines will allow a real -- if qualified -- return of freedoms once taken for granted for millions of people. They apply two weeks after a second dose of the Pfizer and Moderna vaccines and 14 days after the single-dose Johnson & Johnson injection.
  • Already, 60 million Americans know that moment of euphoria that comes with getting a first dose. And more than 30 million are fully protected -- a figure that has just overtaken the total number of US Covid-19 cases.
  • The announcement on Monday could have an important public health impact in itself. To the majority of Americans who are still waiting, the glimpse of post-vaccination liberation could offer a new incentive to buckle down with social distancing and masking for just a few months longer.
  • The proven promise of vaccines and the accelerating pace that they are going into American arms -- at a rate of about 2 million or more a day -- offers something like the prospect of a normal summer.
  • "There is so much that's critical riding on the next two months," CDC director Dr. Rochelle Walensky said Monday. "How quickly we will vaccinate versus whether we will have another surge really relies on what happens in March and April."
  • "The good news is that it was coming down. The sobering news is that it's starting to plateau a bit," Fauci told a National League of Cities Conference. "The history with this virus has told us when you start to plateau at a level as high as this, which is about 60 to 70,000 cases a day, that you are by no means out of the woods."
  • "I actually would go further and say that people who are fully vaccinated should be able to travel -- should be encouraged to travel, and that's one of those incentives that we can give as a way for restoring freedoms, that you now are able to travel and go visit your loved ones and go to museums and cultural institutions once you're fully vaccinated," Wen said.
  • "I think they really haven't gone far enough," Reiner told CNN's Erin Burnett, while suggesting that the CDC was worried about sending a message that might convince non-vaccinated Americans to start taking to the skies.
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