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If viral aerosols from talking are the most common vector of COVID-19 transmission … we should encourage universal mask wearing, social distancing among people from different households, and quiet in public spaces.

- If a large number of infected people will be asymptomatic … we should invest early in a mass-testing apparatus to quickly identify silent carriers.

- If symptomatic individuals don’t just talk but also often cough and sneeze … we should create a national quarantine system to separate them from their families and a contact-tracing system to identify potentially infected individuals and ask them to isolate.

- If, no matter how well we respond, this pandemic is going to last for a while … we should encourage people to reclaim normalcy by spending as much time outside as possible, while still stressing the importance of mask usage and social distancing when gathering with those outside of one’s household.

To be fair to American leaders, or at least inclusive of non-American incompetence, it’s not just the U.S. where elites have made a mockery of their authority.

The World Health Organization took months to declare that the coronavirus was airborne in the first place.

after 500 years, a couple of scientific revolutions, scores of medical discoveries, and dozens of vaccines—not to mention nine months of 21st-century plague—too many American leaders are still practicing the equivalent of legislative bloodletting, as they oversee scientifically unsound and poorly explained laws that are immiserating the populations they’ve sworn to protect.

other experts on the committee said all available evidence indicated the vaccine is safe and effective for nursing home residents and older Americans generally.

As people age, bodily defenses against pathogens weaken, and the response to vaccines also falters.

“We have a clear and present danger of Covid, and we have social isolation,” Dr. Farrell said. “We know that that’s an independent risk factor for mortality, even stronger than individual chronic diseases.”

“For many, the immune response can sometimes be diminished or dampened or delayed,”

“When you’ve come to near-death experiences twice, volunteering for a vaccine trial — it wasn’t a great sense of worry or apprehension for me,”

Some people worry, incorrectly, that the vaccine may somehow give them Covid-19. In fact, the vaccine carries instructions to make only a single protein from the virus.

Every time she gets a flu shot, Ms. Ebrani said, she feels unwell for three days, with headaches and a deep exhaustion. But she gets that vaccine anyway, because she feels healthy the rest of the year and because her doctor has told her she should.

If authorized, the US plans to start by shipping about 6 million doses across the country, said Gen. Gustave Perna, chief operating officer of Operation Warp Speed.

"We're going to have enough for 20 million people to get vaccinated by the end of December," Health and Human Services Secretary Alex Azar said.

About 2.9 million doses of the vaccine either have been or will be received nationwide this week. That's enough to start vaccinating 1.45 million people, since each person needs two doses.

More than 300,000 people in the US have died from coronavirus in 10 months, according to Johns Hopkis.

In the past week, the US has reported an average of more than 215,000 new infections a day, according to Johns Hopkins University.

The CDC has recommended that health care workers and residents of long-term care facilities get the vaccine first.

And another 186,000 are projected to die over the next three months, according to the University of Washington's Institute for Health Metrics and Evaluation. "

"There are tens of thousands of Black and brown people dying every year because they are distrustful of the system," Adams said. "In many cases, rightly so, but also because they're not getting the facts to help restore their trust in the system."

In California, Gov. Gavin Newsom said that while the vaccines offered a moment of hope, he added "we are in the midst of the worst moment of this pandemic."

Los Angeles County health officials said Monday new cases have increased 625% since November 1, with "younger people continuing to drive the increase in community transmission."

"Our reality is frightening at the moment," they said in a statement. "By next weekend, there are likely to be over 5,000 patients hospitalized and more than 50% of ICU beds occupied by COVID-19 patients."

In New York City, Mayor Bill de Blasio hinted at tighter restrictions in the coming weeks, saying the city was on a "very troubling" trajectory, "in terms of the number of people who get sick, the number of people we would lose ... and obviously the impact on hospitals, their ability to treat people."

"We will be monitoring and evaluating our current situation day to day and ... (we) will remain under the current restrictions for now, with the goal of getting through the next month."

"If officials and experts agree that our trends are going beyond our ability to respond, I will be forced to come in front of you all again with tougher actions."

Congress may have to pass yet another short-term stopgap resolution to give them more time to find an agreement.

If a sweeping government funding bill is released without pandemic relief, that would spell serious trouble for the effort to pass Covid aid before Congress breaks for the holidays and could signal the impending demise of the last-ditch effort to secure a stimulus deal.

As of late Monday night, there still was no final consensus, with familiar sticking points: Democrats want state and local money to help ensure workers who provide vital services are not laid off. Republicans believe much of that money will be wasted. And the GOP lawmakers who are open to more state and local aid say there also need to be lawsuit protections for businesses and other entities, but Democrats argue that the GOP proposals on that idea go too far.

House and Senate appropriators are planning to unveil a $1.4 trillion spending bill Tuesday to fund federal agencies until the end of September 2021, which leaves little time before the Friday deadline for what's expected to be a massive package to pass both chambers.

It's clear to virtually everyone in Washington that a deal is within reach that includes several key provisions: An extension of jobless benefits, money for vaccine distribution, funds for schools, small business loans -- among a handful of other issues.

Self-imposed deadlines have a way of slipping in Congress and it's always possible lawmakers won't release a massive funding deal Tuesday despite their intention to do so. If that happens, it could mean that talks over both stimulus and government spending are breaking down and lawmakers may be forced to punt the issue further down the road by walking away from a pandemic stimulus deal during the lame duck session of Congress and passing a short-term funding patch rather than a far broader, comprehensive spending deal.

"Either 100 senators will be here shaking our heads, slinging blame and offering excuses about why we still have not been able to make a law -- or we will break for the holidays having sent another huge dose of relief out the door for the people who need it."

There were clear signs on Monday that Democrats could be forced to abandon a push for at least $160 billion in aid to cash-strapped states and cities in order to get a bipartisan agreement on some relief provisions.

during a 22-minute phone call Monday evening, the speaker told Mnuchin that the GOP insistence to include lawsuit protections for businesses and other entities "remain an obstacle" to getting an agreement on state and local aid -- since Republicans have demanded the two be tied together.

A bipartisan group of lawmakers unveiled the legislative text of a $908 billion compromise Covid relief plan on Monday

If the aid is ultimately dropped from the plan, it would amount to a major concession from Democrats, who had advanced roughly $1 trillion for aid to states and cities as part of a $3 trillion-plus plan that passed the House in May and that the Senate never considered. Democrats had argued the money was paramount to ensure that workers performing vital services -- ranging from first responders to health care workers -- could continue to say on the job.

If Democrats do drop their demand for state and local aid, the consensus bill put forward by the bipartisan coalition on Monday that sidesteps that issue as well as liability protections could serve as a ready-made starting point for what could be agreed to more widely on Covid relief.That bill has a price tag of $748 billion and includes policy ideas that have proven popular across party lines such as a boost to the Paycheck Protection Program

"I am convinced the majority leader will actually bring legislation to the floor that will either take up our $748 billion bill or the total of $908 billion, or perhaps he will pick and choose from what we put together in a bill of his own and attach it to the omnibus spending bill."

According to a summary released on Monday, the bill would provide $300 billion for the Small Business Administration and funds that would give small businesses the chance to benefit from another loan through the PPP with certain eligibility restrictions.There would be $2.58 billion for CDC vaccine distribution and infrastructure and an extension of pandemic unemployment insurance programs for 16 weeks along with a $300 per week expansion of federal supplemental unemployment insurance benefits

Many of the plant's 2,800 employees are immigrants and refugees.

Black Hawk County Sheriff Tony Thompson visited the plant along with health officials in April. He told The New York Times that working conditions there — workers crowded elbow to elbow, not wearing face coverings — "shook me to the core."

The complaint says Tyson offered $500 "thank you bonuses" to employees who showed up for every scheduled shift for three months — a policy that the plaintiffs argue incentivized sick workers to keep working.

Tyson had employees move between a different Iowa plant where an outbreak was occurring and the Waterloo plant, and did not adequately test or quarantine them before they entered the Waterloo facility.

The lawsuit also alleges that supervisors outwardly denied there were cases of the virus at the Waterloo plant but began avoiding the plant floor because they were afraid of contracting the virus.

It was around this time, according to a complaint from the family of one employee who died, that the manager of the Waterloo facility organized a "cash buy-in, winner-take-all betting pool for supervisors and managers to wager how many employees would test positive for COVID-19."

"We're saddened by the loss of any Tyson team member and sympathize with their families. Our top priority is the health and safety of our workers, and we've implemented a host of protective measures at our facilities that meet or exceed CDC and OSHA guidance for preventing COVID-19," Mickelson said, pointing to investments the company has made in testing, temperature scanners, workspace dividers and other safety measures.

Tyson eventually announced on April 22 it would suspend operations at the plant. It reopened two weeks later.

After nearly two years in which sports have delivered some of the most vivid case studies in public health, the Senators are presenting yet another: just how much Covid can still spread when a vaccinated group of people gather in poorly ventilated places and get up in each other’s bare faces

That’s a problem for every sport that plays indoors—and a warning for every coming holiday party. 

epidemiologists say they are not particularly surprised. They have long warned that while vaccines are highly effective in preventing serious illness from the coronavirus, they’re not as foolproof in blocking infections, especially as time passes, immunity fades and the highly contagious Delta variant spreads

“The high proportion of infections that occurred in this outbreak provides evidence for SARS-CoV-2 transmission during an indoor sporting activity where intense physical activity is occurring.”

especially when other preventive measures are not also in effect.

“We can see the effectiveness of the vaccines are slightly waning with time and it’s real, but we have to remember it’s waning against getting the infection — the vaccines are holding a lot of their strength against severe illness.”

there were rich examples of how easily the virus could spread inside an ice rink. In a paper published by the U.S. Centers for Disease Control and Prevention, Florida health officials recounted a June 2020 recreational hockey game in Tampa Bay during which a presymptomatic but infectious player appeared to have transmitted coronavirus to eight out of 10 teammates, five out of 11 players from the opposing team, and one rink staff member.

“The ice rink provides a venue that is likely well suited to Covid-19 transmission as an indoor environment where deep breathing occurs, and persons are in close proximity to one another,”

10 players and one coach tested positive in recent days. The team says it is fully vaccinated, but hasn’t specified which shots players have received. 

“A bubble I don’t think is reasonable at this point in time; nor is pretending that the pandemic is over.”

That panel is scheduled to meet to consider the issue next week.

Federal officials have said that if pediatric doses of the Pfizer-BioNTech vaccine are authorized, 15 million doses of vaccine will immediately be shipped to the states for distribution.

Even with this latest increase, Vermont’s total cases and deaths per capita remain the lowest on the mainland. But the state’s recent backslide carries troubling implications. If Vermont has finally lost control of the pandemic, what chance is there for the rest of the country?

Before the CDC opened up vaccinations to children under 12 earlier this month, about 50,000 Vermonters in a population of more than 600,000 had not received a single shot, Mark Levine, the state’s health commissioner, told me. “That’s still a lot of people who the virus finds. It’s very effective,”

The sheer contagiousness of Delta means that achieving herd immunity is likely impossible even if nearly everyone has been vaccinated or previously infected, and though Vermont has vaccinated a higher percentage of its population than any other state, its protection from the virus is nowhere close to universal.

Whether by choice or because of age restrictions, more than one-quarter of Vermonters are not fully inoculated, and as in other places across the country, that percentage is higher in rural counties.

Vermont’s experience, they concede, might simply be a preview of the virus’s endemic future, when states can realistically hope only to keep COVID-19 contained, not eliminate it entirely.

As it did with vaccinations in the spring, Vermont is moving more rapidly than other states to provide booster shots for its adult population and inoculations for younger children who have recently become eligible. And unlike other states experiencing a spike, Vermont has not seen its hospital system overwhelmed

Vermont has also maintained its most important advantage over other states by limiting the most severe outcomes of COVID-19 infection. Deaths have increased, but Vermont’s fatality rate remains quite low

To the extent that hospitals are strained, Levine said, it’s because of an increase in other illnesses and conditions caused by delayed care over the past two years.

Vermonters, Levine said, are “victims of our own success.” So many people got vaccinated so quickly that their immunity is beginning to wane earlier than people’s in other states,

And because relatively few people contracted COVID-19 at other stages of the pandemic, the state has much less natural immunity than other places

Seroprevalence studies found that just 3 to 4 percent of Vermont’s population had COVID-19 antibodies prior to the arrival of the Delta variant; by comparison, similar studies indicate that more than 25 percent of the populace had antibodies at one time in New York City, which was hard hit by the virus in spring 2020.

Kids today are, simply put, not learning how to be curious, critical adults — and they don’t seem to know what they’ve lost.

These high school students had become reliant, maybe even dependent, on social media companies’ algorithms.

Their dependence on technology sounds familiar to most of us. So many of us can barely remember when we didn’t have Amazon to fall back on when we needed a last-minute gift or when we waited by the radio for our favorite songs to play. Today, information, entertainment and connection are delivered to us on a conveyor belt, with less effort and exploration required of us than ever before.

What the kids I spoke to did not know is that these algorithms have been designed in a way that inevitably makes — and keeps — users unhappy.

A report by the nonprofit Center for Countering Digital Hate found that users could be served content related to suicide less than three minutes after downloading TikTok. Five minutes after that, they could come across a community promoting eating disorder content. Instagram is awash with soft-core pornography, offering a gateway to hard-core material on other sites (which are often equally lax about age verification). And all over social media are highly curated and filtered fake lives, breeding a sense of envy and inadequacy inside the developing brains of teenagers.

Social media companies know that content that generates negative feelings holds our attention longer than that which makes us feel good.

If you are a teenager feeling bad about yourself, your social media feed will typically keep delivering you videos and pictures that are likely to exacerbate negative feelings.

It is not a coincidence that teenage rates of sadness and suicide increased just as algorithmically driven social media content took over children’s and adolescents’ lives.

The role that social media has played in the declining mental health of teens also gives us a preview of what is coming for adults, with the quickening deployment of artificial intelligence and machine learning in our own lives. The psychological impact of the coming transition of thousands of everyday basic human tasks to machines will make the effect of social media look like child’s play.

The big picture for both sexes is clear: A serious deterioration in the mental health of young people in 2019 to 2023 compared with the baseline of 1993 to 2018.

why? Blanchflower said the mental health of 20-somethings began to deteriorate noticeably around 2011. That made some sense because the United States was in a jobless recovery; the high unemployment rate made it hard for young people to find good jobs — or any jobs

He said he doesn’t fully understand why things continued to worsen as the job market strengthened. But he said, confirming others’ research, that the Covid lockdown was a fresh blow to young people’s mental health. Immersion in social media is another popular explanation,

In an ideal epidemiological scenario, everyone would willingly deploy the full arsenal of COVID precautions, such as masking and forgoing crowded indoor activities, especially during waves. But that kind of all-out response no longer makes sense. “It’s probably not realistic to expect people to take precautions every time, perpetually, or even every winter or fall, unless there is a particularly concerning reason to do that,

when so few people feel that the potential benefit of dodging an infection is worth the inconvenience of precautions, what does it even mean to care about COVID?

people over 50 account for 93 percent of COVID-related deaths in the U.S., even though they represent just 35.7 percent of the population. As long as the death rate remains as high as it is, caring about COVID should mean orienting precautions to protect them.

Barring another Omicron-esque event, we thankfully won’t ever return to a moment where Americans obsess over COVID en masse. But this virus isn’t going away, so we can’t escape having a population that is split between the high-risk minority and the low-risk majority

Right now, Nuzzo told me, the language we use to describe one’s position on COVID is “black-and-white, absolutist—you either care or you don’t.” There is space between those extremes. At least for now, it’s the only way to compromise between the world we have and the world we want.

Phoenix, our hottest city, endured 53 days above 110 degrees and suffered more than 300 heat-related deaths in 2020. But Phoenix exists as a major American city only because the popularization of air conditioning after World War II spurred a population explosion there — from fewer than 250,000 in 1950 to more than 4.5 million in 2022

We have to treat air conditioning like the necessity it’s become, making sure that everyone who needs it has access to it.

A few years ago, the federal Energy Star program recommended setting home thermostats to 78 degrees, a recommendation that was not well received. The consensus seemed to be that a warmer house wasn’t worth the savings on energy costs. But what if we thought of a little extra sweat as saving the planet — and ourselves — from the cost of energy?

Antidepressants continue to be the most commonly prescribed of these medications in the United States, and their use has become only more widespread since the pandemic began, with an 8.7 percent rate of increase from 2019 to 2021, compared with 7.9 percent from 2017 to 2019

At the same time, life in the digital age means that people expect immediacy: immediate replies, immediate delivery, immediate improvement. “We have no tolerance for slow change,” he said. “But many of the problems we are faced with demand slow change.”

For this same 13- to 19-year-old bracket, in the first two years of the pandemic, there was a 17.3 percent change in anxiety medications. It had been a 9.3 percent rate of change between 2017 and 2019

Part of the uptick could be explained by the fact that, stuck at home, people finally had time to seek out the health care they had been delaying. But patients seeking help are doing so against a backdrop of isolation, restriction, uncertainty and grief.

Since 2017, there has been a 41 percent increase in antidepressant use for the teenagers

“The 1950s and ’60s were widely framed as the age of anxiety,” said Anne Harrington, the author of “Mind Fixers: Psychiatry’s Troubled Search for the Biology of Mental Illness” and a historian of science at Harvard. “And the ’80s and ’90s became the age of depression. And yet it’s unclear that people’s symptoms actually changed.”

Prozac was developed to answer what was then the prevalent theory of depression: that it was caused by a chemical imbalance in the brain, specifically too little serotonin. Prozac and similar drugs are called selective serotonin reuptake inhibitors, meaning they block the reabsorption of serotonin in the brain.

“Prozac was on ‘Nightline’ when you went to sleep and on the ‘Today’ show when you woke up.” Within the first two years of Prozac’s existence, 650,000 prescriptions were written for it per month.

Prozac, and its cousins like Zoloft and Lexapro — given out to treat depression but also anxiety, obsessive compulsive disorder and other disorders — are now a banal sight in American medicine cabinets,

“I think the reason doctors are more blasé about prescribing these medicines is that they’ve now been around for a long time and they can prescribe them without getting into trouble,”

t there’s one more reason, too, he thinks: our growing “intolerance” for “more mild levels of depression and neurosis.”

the writer P.E. Moskowitz, echoing a longstanding concern of some prominent skeptics, points out that antidepressants are much more difficult to get off than advertised and that the chemical-imbalance theory of depression on which it all rests has never been proved.

Since 1992, the number of people getting inheritances from parents has nearly doubled even as bequests from grandparents and aunts and uncles have remained flat. Your 50s will be your peak inheriting ages, which makes sense given that an average 65-year-old in the U.S. can expect to live to around age 83 and your parents are, sadly, mortal.

If you look only at the lucky few who inherited anything, their average is $266,00

And if you look only at those in their 70s, it climbs to $344,000. Of course, that’s the value at the time of the gift. Add inflation and market-level returns and many bequests are worth much more by the time you earn your septuagenarian badge.

when we ran the numbers, we found they weren’t random at all.

White folks are about three times more likely to inherit than their Black, Hispanic or Asian friend

it remains vast enough to help explain why the typical White family has more than six times the net worth of the typical Black American famil

Up and down the demographic charts, it appears to be a case of to whom much is given … much more is given

Folks in the bottom 50 percent of earners inherit at half the national rate, while those in the top 1 percent are twice as likely to inherit something.

he confirmed that inheritances make the rich richer. But a rich kid’s true inheritance goes far beyond cash value: In a million less-measurable ways, elite parents give you a head start in life. By the time they die and hand you a windfall, you’ve already used all your advantages to accumulate wealth of your own.

“It’s not just the dollar amount that you get when your parents die,” Ricco said. “It’s the safety net that you had to start a business when you were younger, or the ability to put down a larger share of your savings into a down payment and a house because you know that you can save less for retirement.

“Little things like that are probably the main mechanisms through which intergenerational wealth is transmitted and are not easily captured just by the final value of what you see.”

Just one variable — how much you inherit — can account for more than 60 percent of U.S. wealth inequality

So, if you had to guess someone’s economic station in life and you could peek at only one data point, inheritance would be a pretty good bet. It’s one of the clearest socioeconomic signals on the planet.

“They actually reflect many advantages, many inequalities of opportunities that we face.”

The U.S. tax system does little to temper our uneven inheritance. Consider the stepped-up basis provision, “one of the most egregious (tax loopholes) that we have,”

When you sell something at a profit, you typically pay capital gains tax. But you can avoid that tax by holding the asset until you expire. At your death, the cost basis of your assets gets stepped up to their current value — meaning your heirs avoid getting taxed on what might be a very substantial gain.

Say you’re a natural-soda fan who bought $1,000 of Hansen Natural Corp. stock in 2000. You watched your money grow to more than $1.15 million as sleepy Hansen became the world-eating Monster Beverage Corp. Selling the stock would force you to pay capital gains on more than $1 million in earnings, so instead, you took it to the grave

(If you needed cash, you probably borrowed against your stockpiled stock pile, a common strategy among the 1 percent.)

If your heirs sell it, they’ll pay no taxes. If the value of the stock rises to, say, $1.151 million, they would owe taxes only on that extra $1,000.

Now multiply that loophole by the millions of homes, businesses, equities and other assets being handed down each year

It encourages older folks to hoard homes and businesses they can no longer make full use of, assets our housing-starved millennial readers would gladly snap up.

Early on, Goldwein said, it may have been considered necessary because it was difficult to determine the original value of long-held property. Revenue lost to the loophole was partly offset by a simpler-to-administer levy: the estate tax.

For now, you’ll pay the federal estate tax only on the part of your fortune that exceeds $12.92 million ($25.84 million for couples), and rising to $13.61 million in 2024 — and that’s only if your tax lawyers aren’t smart enough to dodge it.

“Between politicians continuing to cut the estate tax and taxpayers becoming increasingly good at avoiding it, very few now pay it,” Goldwein said. “That means we now have a big net tax break for most people inheriting large amounts of money.”

Kumon presents a convincing explanation: If you didn’t produce a male heir in Japan, it was customary to adopt one. A surplus son from another family would marry into yours. That kept your property in the family.

In Europe, if an elite family didn’t produce a male heir, which happened more than a quarter of the time, the default was for a daughter to marry into another well-off family and merge assets. So while Japanese family lines remained intact from generation to generation, European family lines merged, concentrating wealth into fewer and fewer hands.

As other families compete to marry into the Darcys’ colossal estate — spoiler for a novel from 1813! — inequality increases.

Given a few centuries, even subtle variations in inheritance patterns can produce sweeping societal differences.

Covid deaths, though always concentrated in older people, have in 2022 skewed toward older people more than they did at any point since vaccines became widely available.

That swing in the pandemic has intensified pressure on the Biden administration to protect older Americans, with health officials in recent weeks encouraging everyone 50 and older to get a second booster and introducing new models of distributing antiviral pills.

But the mortality gap between older and younger people has grown: Middle-aged Americans, who suffered a large share of pandemic deaths last summer and fall, are now benefiting from new stores of immune protection in the population as Covid deaths once again cluster around older people.

among people 65 and older, 13 percent are unvaccinated, 3 percent have a single Moderna or Pfizer shot and another 14 percent are vaccinated but not boosted.

“The government wasn’t sure about the booster shot,” he said. “If they weren’t sure about it, and they’re the ones who put it out, why would I take it?” Mr. Thomas said Covid recently killed a former boss of his and hospitalized an older family friend.

But scientists warned that many older Americans remained susceptible. To protect them, geriatricians called on nursing homes to organize in-home vaccinations or mandate additional shots.

That changed last summer and fall, during the Delta surge. Older people were getting vaccinated more quickly than other groups: By November, the vaccination rate in Americans 65 and older was roughly 20 percentage points higher than that of those in their 40s. And critically, those older Americans had received vaccines relatively recently, leaving them with strong levels of residual protection.

As a result, older people suffered from Covid at lower rates than they had been before vaccines became available. Among people 85 and older, the death rate last fall was roughly 75 percent lower than it had been in the winter of 2020, Dr. Stokes’s recent study found.

The rebalancing of Covid deaths was so pronounced that, among Americans 80 and older, overall deaths returned to prepandemic levels in 2021, according to a study posted online in February.

“In 2021, you see the mortality impact of the pandemic shift younger,” said Ridhi Kashyap, a lead author of that study and a demographer at the University of Oxford.

For some people, even three vaccine doses appear to become less protective over time against Omicron-related hospital admissions.

During the Omicron wave, Covid death rates were once again dramatically higher for older Americans than younger ones, Dr. Stokes said. Older people also made up an overwhelming share of the excess deaths — the difference between the number of people who actually died and the number who would have been expected to die if the pandemic had never happened.

Long-ago Covid cases do not prevent future infections, but reinfected people are less likely to become seriously ill.

Eventually, her family had to arrange a trip to a pharmacy on their own for a second booster.“It just seems that now the onus is put completely on the individual,” she said. “It’s not like it’s made easy for you.”

Despite mounting anticipation for the decision, the percentage of parents who will get their young children vaccinated is likely to be low compared to other age groups. A survey from February found that 31% of parents of children in the age range will get their kid vaccinated right away if a vaccine is authorized.

The decision has to come this month “because of the time required for manufacturing the necessary doses,” three of FDA’s top officials – FDA Commissioner Robert Califf, vaccine expert Peter Marks and principal deputy commissioner Janet Woodcock – wrote in a paper published by the journal JAMA in May.Both Pfizer and Moderna are studying vaccines designed to combat omicron and other strains. However, data on the shots remains scarce.

Clinical data from Moderna’s shot is expected this month, according to the company. Moderna in April released findings to support its booster shot development strategy, but the data comes after research in animals suggested the omicron-specific shot might not provide additional protection. A study from scientists at the National Institutes of Allergy and Infectious Diseases’s Vaccine Research Center found that primates boosted with the original vaccine had similar levels of protection as monkeys who got an omicro

The Biden administration has warned of potential fall and winter surges infecting up to 100 million Americans as it gears up for a fall booster shot campaign, whether that is with an omicron-specific shot or not. The FDA authorized a fourth vaccine dose for people ages 50 and older in March, and expanding the shot to more age groups is under consideration.“Administering additional COVID-19 vaccine doses to appropriate individuals this fall around the time of the usual influenza vaccine campaign has the potential to protect susceptible individuals against hospitalization and death, and therefore will be a topic for FDA consideration,” the officials wrote.In fact, the officials said that coronavirus booster shots could be on their way to becoming a yearly occurrence.

It is time to “accept that the presence of SARS-CoV-2, the virus that causes COVID-19, is the new normal,” according to the officials.“It will likely circulate globally for the foreseeable future, taking its place alongside other common respiratory viruses such as influenza,” they wrote.But paying for the shots remains an issue for the Biden administration as Congress shows little appetite for approving more COVID-19 funding.

Latinos have maintained this type of edge despite generally having lower incomes, less access to health care and a greater prevalence of some chronic health issues, such as diabetes and obesity. Some researchers believe the life expectancy advantage is tied to the fact that many Latino immigrants to the U.S. are younger and healthier than many older Latinos, and have lower rates of smoking.

The researchers used projections of COVID-19 mortality to reach their conclusions, and a follow-up study arrived at similar findings. A CDC analysis showing provisional life expectancy estimates also pointed to a three-year drop in life expectancy for Latinos, and a shrinking gap between Latinos and whites.

Latino subgroups have an array of political and cultural differences. But one cultural norm that cuts across all groups is the primacy of family. Whatever country they’re descended from, it’s not uncommon for Latinos in the U.S. to live in multigenerational households that often include young children, their adult parents and a grandparent or grandparents.When young children and adults – many of whom are essential workers – live with elderly grandparents, “that increases the risk for the older people in the household,” says Dr. Luis Ostrosky, chief of the Division of Infectious Diseases at the McGovern Medical School at UTHealth Houston. “If the younger people in the household contract COVID-19, they may be OK, because younger people have stronger immune systems and tend to be healthier. Older people – who tend to be not as healthy and have chronic diseases – may become severely ill, with increased risk of hospitalization and mortality.”

“Once you put all those together, what you find is you have the disappearing of the Latino paradox,” Saenz says.While older Latinos have continued to have a higher rate of COVID-19 mortality than their white counterparts during each year of the pandemic, the difference in death rates has diminished over time. During the first year of the crisis, Latinos age 65 and older died of COVID-19 at 2.1 times the rate of older whites, Saenz and Garcia’s research shows. In 2021, older Latinos died at 1.6 times the rate of older whites, and into late April of this year, older Hispanics had died at 1.2 times the rate of older whites. Saenz attributes the narrowing difference to COVID-19 death rates among older whites in red states where vaccination rates are lower.

Transportation, language and employment. A study in 2020 from the UCLA Latino Policy & Politics Initiative found Latinos (and Blacks) in Los Angeles County and New York City were roughly twice as likely to die of COVID-19 as non-Hispanic whites as of July 20 of that year, and noted that carpooling or taking public transportation to work may raise the risk of coronavirus exposure. The study also found that 34% and 37% of the populations in Los Angeles County and New York City were foreign-born, respectively, with Latinos making up the largest share of that population in each area. Approximately 13% of the foreign-born do not speak English, according to the report, which poses a challenge to their obtaining important health information.

“A three-year reduction in life expectancy is huge in historical terms. We usually have not seen reductions this large except during times of war or major pandemics,” says Theresa Andrasfay, a postdoctoral scholar at the Leonard Davis School of Gerontology at USC and one of the PNAS study’s researchers. “Of course, it’s really sad to think about the individuals who died of COVID, but it also has broader implications for the family members of those who died.”COVID-19 has not only claimed the lives of many older Latinos, but many younger, working-age Latinos as well, leaving behind children, siblings, parents and grandparents who depended on them, Andrasfay says. She says she and other researchers are working on an update, tracking the effect of COVID-19 on life expectancy in 2021: “We’re finding a similar pattern (to 2020), with Latinos having the largest reduction in life expectancy.”

Though he wasn’t in the best of health, Salvador Macias, 83, enjoyed going to a neighborhood community center for senior activities in Long Beach, a beachside city about 25 miles south of downtown Los Angeles. He lived in a modest, tidy house with his wife, Manuela, and their adult daughter, Julie.Salvador suffered from three chronic health conditions: diabetes, high cholesterol and high blood pressure, says his son, Joe Macias.In August 2020 – four months before health care workers received the first COVID-19 vaccine – the elder Macias became ill with the disease, suffering from fatigue and severe shortness of breath. After several days, Salvador died at home. Manuela, who doesn’t have the chronic health conditions her husband had, also contracted COVID-19. She was hospitalized for a week, but survived.

“This is a complete misrepresentation of the definition of abuse in the family code,” Christian Menefee, the Harris County attorney, said in an interview.

“We don’t believe that allowing someone to take puberty suppressants constitutes abuse,”

Governor Abbott’s effort to criminalize medical care for transgender youth is a new front in a broadening political drive to deny treatments that help align the adolescents’ bodies with their gender identities and that have been endorsed by major medical groups.

Arkansas passed a law making it illegal for clinicians to offer puberty blockers and hormones to adolescents and banning insurers from covering care. But the law was temporarily blocked by a federal judge in July after the American Civil Liberties Union sued on behalf of four families and two doctors.

Several such bills were also introduced in Texas. None passed.

She said that blocking gender-affirming care and forcing teenagers to go through the physical changes of puberty for a gender they don’t identify with was “inhumane.”

“Our nation’s leading pediatricians support evidence-based, gender-affirming care for transgender young people.”

A growing number of transgender adolescents have sought medical treatments in recent years. Transgender teenagers are at high risk for attempting suicide, according to the Centers for Disease Control and Prevention. Preliminary research has suggested that adolescents who receive such medical treatments have improved mental health.

“What is clear is that politicians should not be tearing apart loving families — and sending their kids into the foster care system — when parents provide recommended medical care that they believe is in the best interest of their child.”

“It’s designed to make parents scared,” he said. “It’s designed to make doctors scared for even facilitating gender-affirming health care.”

“Minors are prohibited from purchasing paint, cigarettes, alcohol, or even getting a tattoo,” Jonathan Covey, director of policy for the group Texas Values, said in an emailed statement. “We cannot allow minors or their parents to make life-altering decisions on body-mutilating procedures and irreversible hormonal treatments.”

Professional medical groups and transgender health experts have overwhelmingly condemned legal attempts to limit “gender-affirming” care and contend that they would greatly harm transgender young people.

“Gender-affirming care saved my life,” they said in a statement. “Trans kids today deserve the same opportunity by receiving the highest standard of care.”

it is palpable: what happens in the UK and Europe doesn’t stay in the UK and Europe.

In the past couple of weeks, the UK and several countries in Europe, including Germany, France and Switzerland, are experiencing a new wave.

This is the sixth warning from the UK and Europe to the United States.

Wastewater surveillance is relatively sparse in the United States, but 15% of the 410 sites where it was conducted between 24 February to 10 March 2022 showed a greater than 1000% increase compared with the prior 15-day period

Now we are at a point with very low vaccination and booster rates, only 64% of the populations has had two shots, and 29% three shots. That puts the United States at 65th and 70th in the world ranking of countries, respectively.

Rather than focusing on what precisely is driving the new wave, the imperative is to drive some preventive action.

As with the first five warnings from the UK and Europe, the United States did not take heed. Instead of proactively gearing up with non-pharmaceutical interventions (masks, quality of masks, distancing, air filtration, ventilation, aggressive testing, etc.), it just reacted to the surges when they were manifest.

the BA.2 variant is gaining steam in the United States and is now accounting for more than 30% of new cases.

Not only is there a gaping hole in our immunity wall, but the $58bn budget of the American Pandemic Prepared Plan (AP3) advanced by the White House to comprehensively address the deficiencies was gutted by the Senate, reduced to $2bn, now threatening to cancel the order of more than 9.2m Paxlovid pills, the Test-to Treat program announced at the State of the Union address, along with better data, wastewater surveillance, efforts to develop a pan-coronavirus vaccine, research on long Covid, and many other critical public health measures.

We haven’t even seen a new, major variant yet, but there are too many reasons to believe that is likely in the months ahead, owing to extensive animal reservoirs and documented cases of spillover to humans, a large number of immunocompromised people in whom the virus can undergo accelerated evolution, rare but increasingly seen co-infections, and lack of containment of the virus globally.

Unfortunately, we have a mindset that the pandemic is over, which couldn’t be further than the truth

dd to all this is what is happening in China, which has fully relied on a zero-Covid policy, resulting in very little natural immunity, and vaccines that have weak efficacy against Omicron

Scientists are only beginning to guess why the vaccine’s profile is improving with the passing months.

Levels of antibodies skyrocket in the first few weeks after immunization, but then rapidly wane. The J.&J. vaccine may produce antibodies that decline more slowly than those produced by the other vaccines, some research suggests. Or those antibodies may become more sophisticated over time, through a biological phenomenon called affinity maturation.

Perhaps, some researchers suggest, the vaccine offered a more robust defense against the Omicron variant, responsible for the huge increase in infections over the past few months. And studies have shown that the vaccine trains other parts of the immune system at least as well as the other two vaccines.

“It is a shame that we don’t have more direct study of outcomes among people who received J.&J.,” she said. That is in part because fewer people got the vaccine than the mRNA vaccines, she said, but also “because we’re relying on other countries generating data.”

Still, the data so far suggest that two doses of the J.&J. vaccine had an effectiveness of about 75 percent against hospitalization with the Omicron variant, comparable to the protection from the Pfizer-BioNTech vaccine. The researchers presented the findings last month at the Conference on Retroviruses and Opportunistic Infections in Denver.

Although the trial looked only at people who got two doses of the Johnson & Johnson vaccine, it suggests that the vaccine may make an excellent booster for people who initially got two doses of an mRNA vaccine, experts said.