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Regional drug stores state they need more COVID vaccines as CVS, Walgreens ramp up shots
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Soothe COVID-19 vaccine adverse effects with these suggestions.
USA TODAY
Brian Caswell, owner of Wolkar Drug in Baxter Springs, Kansas, has actually been eager for his independent drug store to assist with the COVID-19 vaccine rollout
He purchased a specially geared up freezer for storage purposes, licensed extra workers to administer vaccines and bought scheduling software to get ready for the push.
” Everybody stepped up to do everything that the CDC asked,” he said. “The only thing that we couldn’t get was vaccines.”
Up until now, pharmacy giants CVS and Walgreens and big-box stores like Walmart and Kroger have been getting the lion’s share of vaccines from the preliminary allotment committed to retail pharmacies, independent pharmacists state.
But community pharmacies, they argue, can play a crucial role in providing COVID-19 shots, so they’re annoyed that they aren’t receiving as many vaccines proportionally as major chains are receiving from the federal, state and city governments. They say their individual relationships with their clients are vital to a successful vaccine rollout, and they decline the tip that they don’t have the innovation required to handling the scheduling procedure.
If local pharmacies are left out, that threatens to avoid Americans in low-income neighborhoods and individuals of color from getting immunized rapidly considering that neighborhood pharmacies are most likely to be located in what the federal government thinks about to be socially vulnerable areas, independent pharmacists state.
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The variety of family-owned pharmacies is still significant, despite a decrease recently. About 1 in 3 of the nation’s 60,000 drug stores are separately owned and run.
” There’s been, in our opinion, an over-weighted focus on 2 big chains: CVS and Walgreens,” said B. Douglas Hoey, CEO of the National Community Pharmacists Association (NCPA). “The rollout of the vaccine will not succeed without incorporating local pharmacies into the circulation and administration.”
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President Biden toured a Pfizer vaccine factory in Kalamazoo, Michigan as extreme winter weather condition hinders COVID-19 vaccine rollout strategies.
Regional pharmacies desire in
In the 63 significant jurisdictions determined by the CDC for circulation of vaccines, locally-owned drug stores were initially allocated shots in just 17, according to the NCPA. In its preliminary rollout, the CDC listed CPESN as one of 21 retail pharmacy partners for circulation of the vaccines, a list that consisted of giants like CVS, Walgreens, Walmart and Kroger
However of CPESN’s thousands of drug stores, just 82 got vaccines– 100 dosages each– in the very first week of distribution in mid-February, and none got doses in the 2nd week due mostly to bad weather.
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A public service advertising campaign unveiled Thursday aims to convince Americans to get vaccinated versus COVID-19, telling them “It depends on You.” The campaign by the Advertisement Council and its partners is concentrated on those who may be reluctant to get the shots. (Feb. 25).
AP Domestic
To be sure, the CDC does not manage all aspects of the rollout. The agency is distributing most doses directly to the states, which then direct dosages to retail pharmacies, local health departments and others.
State and regional officials appear to bear the majority of the responsibility for choices to distribute vials to which drug stores, said CPESN spokesperson Jay Williams. One factor might be because chains typically have the most places and the most identifiable brand names.
However local drug stores that have actually gotten vaccines are managing the procedure effectively, he said.
” If they got 100 doses, they got 100 dosages in arms in a couple days,” Williams stated. “That’s the genuine story.”
Some are getting more than others. Drug distributor AmerisourceBergen said it’s assigning more than 13,000 doses weekly in the early going to more than 100 independent drug stores in Texas, Nebraska, Kentucky and Kansas. By comparison, CVS stated it’s prepared to ultimately deal with as much as 25 million per month, while Walmart said it can manage as much as 13 million.
Hoey acknowledged that digital scheduling systems can present difficulties for regional drug stores, but he explained that even Walgreens’ system momentarily folded when it first presented. So he declined the idea that the significant chains are in some way best suited to deal with the situation.
” It is a huge difficulty for everyone,” he stated. “the innovation is there– there’s a number of various scheduling platforms that are readily available.”
Michele Belcher, owner of Grants Pass Drug Store in Grants Pass, Oregon, said she thoroughly surveyed her technology alternatives before selecting scheduling software She stated mom-and-pop drug stores have been harmed by their image as friendly however too old-fashioned to assist in a modern-day health crisis where countless dosages are sent across the country and individual shots are typically arranged online.
” We have a few of the best innovation that there is out there,” she said. “The feedback that I have actually had is overwhelming on how easy it was to utilize,” she stated, including that the majority of small drug stores have robots to help with the packaging or dispensing of medications and advanced technology for billing consumers.
Individual relationships matter
Local pharmacists state they’re more likely than chains to have long-running individual relationships with their customers, making it easier to set up visits with hard-to-reach consumers– specifically at a time when numerous Americans stay doubtful of the vaccines and need to be convinced that they’re safe.
Those relationships are specifically important for Americans who are not able or comfy with innovation to schedule appointments online.
” They might not make use of the technology due to the fact that they can’t, however they understand they have the old-school innovation of phoning or dropping in,” Caswell stated.
Caswell, who is also presently acting as president of the NCPA, owns four drug stores in Kansas and Missouri. Since completion of the 2nd week of distribution to drug stores, 2 had actually gotten vaccines, while the others had not. Among his locations, for instance, got 100 dosages and administered those in less than a week.
” I feel like the rural areas have been not as high of a concern as the more city centers,” Caswell said. “If independent pharmacies were treated similarly with everybody else, we might look after entire counties relatively simple.”
In many cases, local pharmacies are getting vaccines because they have good relationships with regional health officials.
Belcher, owner of Grants Pass Pharmacy, said her pharmacy is proving that regional pharmacies can play an important function in the vaccine rollout. Due to her established relationships with local health authorities, she has actually been receiving enough vaccines to administer 50 to 75 shots each day.
” It’s been a very favorable relationship and I feel really lucky due to the fact that I definitely have actually heard my associates throughout the nation discuss that’s not always the relationship that exists in every county sadly,” she said.
A lot to get
There’s a side advantage to pharmacies in the vaccine rollout: foot traffic. If hundreds of countless Americans stroll through their doors to get immunized– two times each for the Moderna and Pfizer vaccines– that can translate into sales of unassociated products.
” We think that the direct profits from administering the vaccine– that’s going to be minimal,” Sundaram stated. “However the indirect advantages are going to be much larger for these pharmacies.”
Nick Shields, a customer sector analyst at research study company Third Bridge, stated he was just recently shopping at a CVS in Rhode Island where he saw this direct.
” There were a lot of people who were standing in line for their COVID vaccines who had paper towels in their hands and personal items like hair shampoo,” he stated. “Because sense, it is a big foot-traffic driver.”
Local drug stores may face another difficulty: Consumers may trust brand-name companies more to deal with something as serious as the COVID-19 vaccine, Shields said.
” I believe a lot of customers are much more going to trust a Walgreens or a CVS than your regional drug store, as disappointing as that can be in some circumstances because these are individually owned and family-owned pharmacies,” Shields stated.
But local pharmacists state it’s the opposite– and that patients who have gotten vaccinations from them so far show the point.
” It’s been an extremely rewarding experience– one I’ll definitely never forget,” stated Belcher, a second-generation pharmacist. “The feelings of the individuals receiving the vaccine– they are so appreciative of the service and hopeful that they’re going to be able to see grandchildren. It’s very moving.”
Follow U.S.A. TODAY reporter Nathan Bomey on Twitter @ NathanBomey
Read or Share this story: https://www.usatoday.com/story/money/2021/03/01/ cvs-walgreens-covid-vaccines-local-pharmacies-walmart-cdc/6785615002/
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FDA licenses J&J COVID vaccine after consentaneous vote [Updated]
Now there are 3–.
An FDA advisory committee voted Friday 22 -0 in favor of authorization.
UPDATE, February 27, 2021 7: 20 pm EST: The United States Food and Drug Administration on Saturday evening granted emergency situation usage authorization for Johnson & Johnson’s COVID-19 vaccine. The vaccine is the 3rd authorized in the US and the first to need just a single shot, which can be delivered at refrigerator temperatures.
” The permission of this vaccine broadens the availability of vaccines, the best medical avoidance method for COVID-19, to help us in the battle versus this pandemic, which has declared over half a million lives in the United States,” acting FDA Commissioner Janet Woodcock stated in a statement
The vaccine uses a non-replicating adenovirus (Ad26)– a kind of virus that causes colds– to deliver the hereditary plans of the SARS-CoV-2 spike protein to cells. The FDA authorized it for use in individuals ages 18 and older.
” After a thorough analysis of the information, the FDA’s scientists and doctors have actually determined that the vaccine satisfies the FDA’s expectations for security and effectiveness appropriate for the authorization of a vaccine for emergency situation use,” Peter Marks, director of the FDA’s Center for Biologics Examination and Research study, stated. “With today’s permission, we are adding another vaccine in our medical tool kit to eliminate this infection. At the same time, the American people can be ensured of the FDA’s undeviating dedication to public health through our detailed and extensive evaluation of the data sent for vaccines to prevent COVID-19”
Original story, February 26, 2021 5: 17 pm EST: After a day-long meeting Friday, an advisory panel for the US Food and Drug Administration voted 22 to 0 to suggest providing an Emergency situation Use Permission for Johnson & Johnson’s single-shot, refrigerator-stable COVID-19 vaccine.
If the FDA accepts the panel’s recommendation and grants the EUA– which it likely will– the nation will have a third COVID-19 vaccine authorized for use. Earlier this week, FDA scientists launched their review of the vaccine, endorsing permission Today’s panel, the FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) went through the data even more.
” It’s a relatively simple call,” Eric Rubin, a Harvard scientist and voting member of the VRBPAC stated after the vote. “[The vaccine] clearly gets way over the bar and it’s nice to have a single-dose vaccine … the need is so large [for vaccines], it clearly has a place.”
Agency watchers expect the FDA to move quickly on the decision, possibly approving the EUA as early as tomorrow, February27 The FDA moved that quick in approving EUAs for the two formerly licensed vaccines, the Moderna and Pfizer/BioNTech mRNA vaccines.
In addition, an advisory panel for the Centers for Illness Control and Avoidance that makes suggestions on vaccine usage has set up an emergency conference for this Sunday to talk about the vaccine’s use, additional strengthening speculation that the federal government will move rapidly to license and roll out the vaccine. If all of the pieces fall in line, doses of Johnson & Johnson’s COVID-19 vaccine could begin shipping to vaccination websites early next week.
The rollout won’t be a huge burst of new doses right now, though; it will likely be a slow roll. In congressional testament this week, a Johnson & Johnson executive stated that the business would offer 4 million doses after the EUA, with an overall of 20 million all set by the end of March and an overall of 100 million by the end of June. Still, with the vaccine only requiring a single shot, those 100 million dosages relate to 100 million individuals secured.
Efficacy
According to an in-depth FDA review of Phase III clinical trial information sent by Johnson & Johnson, the vaccine was 66 percent reliable at preventing moderate to severe COVID-19 at 28 days after vaccination. (Johnson & Johnson defined moderate cases to include cases that had two signs, such as cough and fever, which would have been classified as just “symptomatic” infections in other trials.)
The international trial, which included over 44,00 0 individuals in different trial websites, had various efficacies in various places.
Reassuringly, the efficacy versus extreme and critical illness was high across the board in all of the trial locations and across age groups. By area, effectiveness against extreme disease in the US was at 86 percent, 82 percent in South Africa, and 88 percent in Brazil.
In addition, Johnson & Johnson has a 30,00 0-person trial in progress testing whether including a booster shot will further increase effectiveness.
Negative effects
As for side effects, the vaccine has a “beneficial security profile,” according to the FDA. It’s uncertain if these conditions were related to the vaccine.
While anaphylaxis has been an uncommon however recorded incident with the mRNA vaccines, it appears to be less of a threat with Johnson & Johnson’s vaccine. There was a single case of a serious hypersensitivity reaction two days after vaccination that was thought about likely related to the vaccine.
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Report: Nuggets Player Expected to Enter COVID Protocol Ahead of All-Star Break
David Zalubowski/Associated Press
The Denver Nuggets are reportedly expecting to add a player to the health and safety protocols, according to ESPN’s Adrian Wojnarowski.
This transaction could keep the player out until the All-Star break with just three games remaining in the first half of the season.
Denver is scheduled to face the Chicago Bulls on the road Monday before continuing the road trip against the Milwaukee Bucks on Tuesday and Indiana Pacers on Thursday.
Toronto Raptors forward Pascal Siakam was also placed in the health and safety protocols and is expected to miss at least three games, per Wojnarowski.
Losing any depth could be an issue for the Nuggets, who are looking to keep pace in the Western Conference. The squad entered Sunday with an 18-15 record, good for the No. 8 seed at the moment.
Nikola Jokic has played like an MVP candidate this season, while Jamal Murray remains a weapon on the perimeter, but the squad must keep winning in order to match or exceed last year’s run to the Western Conference Finals.
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Infectious Diseases part 4
Taught content.
Covering details of HIV/AIDS & the alarming facts of AIDS status in Pakistan. Resource person Dr Malik M Mukhtar, Epidemiologist & head of National AIDS control program in Pakistan.
In a talk being conducted by Dr Malik M Mukhtar, #epidemiologist & head of National AIDS Control Program in #Pakistan some alarming details were brought to light. He shared some eyebrow raising facts about the status of #HIV AIDS in Pakistan. I’d share some with my #fb audience:
– Pakistan’s present standing in world AIDS ranking is #5, which is indeed alarming.
– 1 in 10 #Pakistani suffer form Hep B &/or C, which means that in population of 21crore (as per recent census), upto 2crore people suffer form Hep B &/or Hep C. Both these forms of #hepatitis have a similar mode of transmission as AIDS.
– Somehow 22lac Pakistani are HIV +ve, which is a mistaken statistics, #AIDS is under reported in Pakistan. And this under reported figure arises from the fact that people (at risk or not at risk) aren’t willing to undergo HIV screening, owing to the stigma attached to the illness. There are more than 1crore 80 lac Pakistani suffering from HIV. They are out there, waiting in oblivion, transmitting HIV to non HIV individuals.
– #Gulf countries deport anyone who’s found HIV +ve, & Pakistani army expel the armed personnels if found HIV +ve.
– Out of 22lac reported HIV cases, 6,600 are in #Karachi and
Karachi is leading in 🇵🇰 when it comes to HIV cases, because being a metropolis it provides an easy access to red light area, a gay community, transgenders, drug addicts.
– an estimated 65 lac drug users are there in Pakistan & smoking cigarettes is the initiation of a person into the euphoric world of drugs, predisposing him/her to use IV mode for injecting a drug into his blood, whereby he/she shares a hypodermic needle & ends up with HIV.
– In #Larkana 60 people got HIV from dialysis, where unscreend blood was transfued into dialysis patients. Such extreme medical negligence went Scott free in Pakistan because the blood banks involved in supplying that un screened blood to Larkana hospital were owned by MNAs sitting in parliament.
– 2 crore Pakistani are in foreign, while away form wife & family they often engage in unprotected sex and bring HIV to homeland.
– Pakistan, Phillipines & Indonesia have a high rise of HIV+, it’s alarming that 2 of these countries are declared #muslim states.
– Ask your doctor for oral substitute (if available) over IV injection for any prescribed injection.
– Avoid promiscuous behavior
– keep in mind, PKR 10lac /year are the expenses per HIV Patient. Management & treatment is way more expensive than #prevention
FDA approves Johnson & Johnson’s single-shot Covid vaccine for emergency use
A health worker holds the Johnson and Johnson vaccine at the Chris Hani Baragwanath Hospital in Soweto in February 17, 2021.
Emmanuel Croset | AFP | Getty Images
The Food and Drug Administration has approved Johnson & Johnson‘s Covid-19 vaccine for emergency use, giving the United States a third tool to fight the pandemic as highly contagious variants start to take root across the country.
The FDA’s emergency use authorization Saturday kickstarts the federal government’s plan to distribute nearly 4 million doses of J&J’s vaccine to states, pharmacies and community health centers across the nation next week. Unlike Pfizer‘s and Moderna‘s vaccines, J&J’s one-dose regimen eliminates the need for patients to return for a second dose and it can be stored at refrigerator temperatures for months.
J&J’s vaccine “makes it operationally easier in lots of contexts,” Dr. Nancy Messonnier, director of the CDC’s National Center for Immunization and Respiratory Diseases, told the Journal of the American Medical Association during a Q&A event on Friday. “I expect lots of considerations state health departments are having around these vaccines is more about the ease of use of the J&J vaccine and how it might be better suited for some populations.”
Initially, doses would be limited, J&J has said. The company expects to deliver 20 million doses by the end of March, J&J’s vice president of U.S. medical affairs, Dr. Richard Nettles, told House lawmakers on Tuesday. J&J has a deal with the U.S. government to supply 100 million doses of its vaccine by the end of June, and U.S. officials say they are working with the company to ramp up supply as quickly as possible.
In recent weeks, U.S. health officials have pushed Americans to get vaccinated as quickly as possible. Officials are growing concerned about new, emerging variants of the virus, particularly the B.1.351 strain, which has been shown to reduce the effectiveness of vaccines both on the market and under development. On Friday, the head of the Centers for Disease Control and Prevention, Dr. Rochelle Walensky, warned the declines in Covid-19 cases reported in the U.S. since early January may be flattening as variants spread.
J&J submitted its Covid vaccine data to the FDA on Feb. 4. The vaccine’s level of protection varied by region, J&J said, with the shot demonstrating 66% effectiveness overall, 72% in the United States, 66% in Latin America and 57% in South Africa, where the B.1.351 variant is rapidly spreading. However, FDA documents show the vaccine was 64% effective in South Africa after about a month. The company said the vaccine prevented 100% of hospitalizations and deaths.
Pfizer’s vaccine was found to be 95% effective against preventing Covid-19, while Moderna’s was found to be about 94% effective. Infectious disease experts pointed out that J&J’s numbers can’t be used as a direct comparison to the other two vaccines because it’s a single dose and the company’s trial was conducted when there were more infections as well as new, more contagious variants.
The FDA has indicated it would authorize a Covid-19 vaccine that’s safe and at least 50% effective. The flu vaccine, by comparison, generally reduces people’s risk of getting influenza by 40% to 60% compared with people who aren’t inoculated, according to the CDC.
The FDA authorized J&J’s vaccine for people who are 18 years old and older. It isn’t the same as full approval, which requires more data and can typically take several months longer. J&J, like Pfizer and Moderna, has submitted only two months of safety data, but the agency usually requires six months for full approval. The FDA approved the emergency use of hydroxychloroquine to treat Covid-19 in March, only to revoke it in June after additional data showed it provided “no evidence of benefit” in coronavirus patients.
The FDA was expected to approve J&J’s vaccine for emergency use.
The agency’s announcement comes after a key panel on Friday unanimously backed the vaccine for emergency use The FDA’s Vaccines and Related Biological Products Advisory Committee plays a key role in approving flu and other vaccines in the U.S., verifying the shots are safe for public use. While the FDA doesn’t have to follow the advisory committee’s recommendation, it often does.
After the vote, Dr. Archana Chatterjee, an infectious disease expert at Chicago Medical School and a voting member of the committee, said J&J’s vaccine will help “meet the needs of the moment” as states complain there is not enough supply of Pfizer’s and Moderna’s vaccines.
“We need to get this vaccine out now,” Dr. Jay Portnoy, a professor UMKC School of Medicine and a voting member of the committee, said after the vote. He added, “we’re in a hurry” as the variants pose a threat to the nation’s progress on the pandemic.
No specific safety concerns from J&J’s vaccine were identified. Headaches, fatigue and muscle pain were some of the most common side effects among people who received the inoculation, according to an FDA report published Wednesday. There were also reports of nausea, fever and pain at the injection site, the report said.
Macaya Douoguih, head of clinical development and medical affairs for J&J’s vaccines division Janssen, told the FDA panel on Friday that two people suffered severe allergic reactions shortly after getting the vaccine. One of the people was participating in an ongoing trial in South Africa and developed anaphylaxis, a severe and life-threatening allergic reaction.
The company has said it plans to ship the vaccine, which contains five doses per vial, at 36 to 46 degrees Fahrenheit. By comparison, Pfizer’s vaccine needs to be stored in ultra-cold freezers that keep it between minus 112 and minus 76 degrees Fahrenheit, though the FDA recently allowed the company to store its vaccine for two weeks at temperatures commonly found in pharmaceutical freezers. Moderna’s vaccine needs to be shipped at 13 below to 5 degrees above zero Fahrenheit.
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Scammers seize on COVID confusion
Scamming has skyrocketed in the past year, and much of the increase is attributed to COVID-related scams, more recently around vaccines.
Why it matters: The pandemic has created a prime opportunity for scammers to target people who are already confused about the chaotic rollouts of things like stimulus payments, loans, contact tracing and vaccines. Data shows that older people who aren’t digitally literate are the most vulnerable.
Driving the news: New data from the Federal Trade Commission — which oversees consumer fraud and deception cases — finds that in 2020, the FTC received more than 4.7 million reports around scams from consumers, up from 3.2 million in 2019.
- The agency received more than 2.2 million reports about fraud specifically, totaling $3.3 billion in consumer losses.
- An overwhelming number of scams target older people, the FTC data suggests, with 60 to 69 year olds reporting losses of more than $56 million to coronavirus frauds.
- Most COVID-related fraud reports are attributed to online shopping scams, which is notable given the uptick in e-commerce during the pandemic.
- The Department of Homeland Security has analyzed nearly 80,000 COVID-19 domain names in its pursuit of scams.
- In a blog post, the agency notes it has made 227 arrests, served 222 criminal search warrants and opened 862 investigations related to COVID scams.
- As of Feb. 10, Homeland Security agents have seized more than $33 million in illicit proceeds attributed to COVID-19 scams selling counterfeit N95 masks.
Breaking news events have long been an opportunity for scammers to act, in an effort to capitalize on existing confusion.
- For example, the data shows that there was a massive increase in identify theft scams the day of and the day after the Capitol insurrection on Jan. 6.
- The FTC found that imposter scams — where the perpetrators disguise their identities, usually as government officials — were the most common type of scam last year.
- “Government and business imposter scams were also among the top categories of COVID-19 and stimulus related reports, proving once again, that scammers follow the headlines,” an agency official wrote in a blog post.
The big picture: While social media is often thought of as the murkiest part of the internet, most scammers aren’t using social media to trick consumers, as the biggest platforms has gotten very good at weeding out bots and scam accounts.
- Rather, the vast majority of scams, including COVID-19 scams, are occurring via phone calls, texts and emails.
- The FTC found that there was a sharp increase in the number of text message scam reports last year. Many of the text messages were related to the pandemic, as well as other topics like stimulus relief or loans.
Facing a deluge of 365,000 reports and counting, the FTC has fired off more than 350 “warning letters” to companies related to potential coronavirus pandemic scams.
- The letters are a way for the agency to quickly prod companies into taking down problematic claims, FTC attorney Christine DeLorme told Axios, adding that they have a high compliance rate.
- “We think that is an incredibly good use of our resources to send a warning letter, if we can get those claims stopped in a matter of days,” she said..
More broadly, federal agencies are trying to educate consumers.
- The Federal Communications Commission on Friday held a webinar aimed at helping older people avoid vaccine-related robocall and robotext scams, while the FTC is holding a cyber scams event with AARP and the Consumer Financial Protection Bureau on March 4.
For people wondering how to avoid being scammed during this period of unprecedented uncertainty, the government offers a few tips:
- Anyone calling from a number you do not know asking for information about your health insurance, Social Security number or financial information are likely scammers.
- People soliciting payments to help you with things like health care or vaccine enrollments are likely scammers, as those are services the government offers for free.
- Scammers will often pretend to be organizations you are familiar with. It’s for this reason, as Axios has previously reported, that scam callers will often spoof D.C.-area codes pretending to be government bodies, like the IRS or HHS.
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The UK's NHS Warned People Not to Follow Gwyneth Paltrow’s COVID Advice
The NHS has urged Gwyneth Paltrow to stop promoting misinformation after she suggested that long-Covid is treatable with “intuitive fasting,” herbal cocktails and visits to an “infrared sauna.”
The Goop businesswoman explained in her latest blog post that she started her own treatment after catching Covid-19 and suffering from “long-tail fatigue and brain fog.” She received medical advice that “this was a case where the road to healing was going to be longer than usual” so embarked on her own personal remedies.
Paltrow started a “keto and plant-based” diet, fasting until 11am every day and then consuming “lots of coconut aminos” and sugar-free kombucha and kimchi, she wrote.
“I’m doing an infrared sauna as often as I can, all in service of healing,” she added, as well as recommending Goop’s herbal non-alcoholic cocktails.
Despite claiming she’d done her research, NHS England has warned against her advice and urges influencers to stop spreading misinformation. Professor Stephen Powis, national medical director for NHS England, said: “In the last few days I see Gwyneth Paltrow is, unfortunately, suffering from the effects of Covid.”
“We wish her well, but some of the solutions she’s recommending are really not the solutions we’d recommend in the NHS,” reports the Guardian.
He continued: “We need to take long-Covid seriously and apply serious science. All influencers who use social media have a duty of responsibility and a duty of care around that.”
“Like the virus, misinformation carries across borders and it mutates and it evolves. So I think Youtube and other social media platforms have real responsibility and opportunity here.”
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Saturday, February 27, 2021
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New Zealand's biggest city back in lockdown as COVID sticks around
Prime Minister Jacinda Ardern ordered New Zealand’s biggest city back into lockdown on Saturday as COVID-19 cases continued to be spotted in the community.
The most recent constraints in Auckland will last a minimum of seven days and come less than two weeks after a three-day shutdown in the city.
Ardern stated a brand-new coronavirus case validated on Saturday could not be directly connected to other favorable tests over the last two weeks, although a school in South Auckland was a typical link.
From Sunday early morning the city’s 1.7 million residents need to stay at house other than for essential shopping and work.
Schools and non-essential stores will close, and entry in and out of the city will be restricted.
The remainder of the country will be under level 2 constraints that include limitations on the size of public gatherings.
Ardern stated there was “trigger for issue” that the most recent case involved an individual who had actually been transmittable for a week however had actually not remained in seclusion.
Since the most recent outbreak first emerged in a household of three, a number of people have reported signs, with the school in South Auckland the connecting aspect.
Ardern blamed the creeping spread of neighborhood infection on people not isolating when they should have been.
In the most recent case the individual checked out a physician on Friday and after that went to the fitness center.
” It’s discouraging,” Ardern said.
Authorities have the capability to take enforcement action versus rule breakers but that required to be stabilized with guaranteeing people with signs stepped forward, the prime minister included.
” We will constantly weigh up, are we developing an environment where people will be open and sincere?” she said.
” We are dealing with young people here and what we inquire to do is show us their entire lives, and it’s extremely essential that we have a circumstance where people are able and happy to do that.”
New Zealand has been commonly applauded for its handling of the pandemic, with simply 26 deaths in a population of five million.
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Lakers' Dennis Schroder Talks Frustration with NBA COVID Policy After Absence
David Zalubowski/Associated Press
Los Angeles Lakers guard Dennis Schroder took issue with the NBA‘s COVID-19 policy Friday following his return to the lineup.
Schroder, who missed four games because of the NBA’s health and safety protocols, called for change, per Broderick Turner of the Los Angeles Times: “It hurts, first off. I never had COVID. Tested negative the whole time. The situation is what it is. But the NBA I think got to do better. I think for sure they need to do better. I mean, I tested negative the whole time. I never had positive. They got to figure that out, for sure.”
The Lakers lost all four games Schroder missed, but they bounced back with a 102-93 win over the Portland Trail Blazers on Friday, as the eighth-year veteran finished with 22 points, three rebounds and two assists.
Schroder’s criticism also took aim at the accuracy and consistency of the NBA’s COVID testing, as he said: “The test came back positive, then we put that back in: negative. Did another one: positive. Put it back in: negative. So, I don’t know at this point.”
With superstar big man Anthony Davis out because of calf and Achilles injuries, Schroder’s absence loomed large, as it essentially left LeBron James to fend for himself.
The results weren’t good, as L.A. suffered losses to the Brooklyn Nets, Miami Heat, Washington Wizards and Utah Jazz.
Because of that losing streak, the Lakers went from battling with the Jazz for the No. 1 seed in the Western Conference to falling to third behind both the Jazz and Los Angeles Clippers.
Now, the Lakers sit 3.5 games behind Utah, meaning they will have an uphill climb during the second half of the season, as they try to win games while also managing the health of key players.
Health and safety protocols remain an inexact science in the NBA and all professional sports, as the major pro leagues attempt to prevent the spread of COVID-19 as much as possible.
If Schroder indeed never had COVID-19, the health and safety protocols may have cost the Lakers some wins while he was out.
Still, the league continues to err on the safe side for good reason. If there was any chance of Schroder spreading COVID-19 to his teammates, sitting him down for four games prevented the entire team from having to postpone games for a week or perhaps even more.
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Russian scientists say Sputnik V performs well against COVID mutations By Reuters
© Reuters. FILE PHOTO: FILE PHOTO: A medical specialist holds a vial of Sputnik V vaccine against the coronavirus in a department store in Moscow, Russia
MOSCOW (Reuters) – A Russian trial testing the effectiveness of revaccination with the Sputnik V shot to protect against new mutations of the coronavirus is producing strong results, researchers said on Saturday.
Last month President Vladimir Putin ordered a review by March 15 of Russian-produced vaccines for their effectiveness against new variants spreading in different parts of the world.
“(A) recent study carried out by the Gamaleya Centre in Russia showed that revaccination with Sputnik V vaccine is working very well against new coronavirus mutations, including the UK and South African strains of coronavirus,” said Denis Logunov, a deputy director of the centre, which developed the Sputnik V shot.
Results of the trial are expected to be published soon, but this was the first indication of how the tests are going. No further details were available yet.
So-called viral vector shots – such as Sputnik V and a shot developed by AstraZeneca (NASDAQ:) – use harmless modified viruses as vehicles, or vectors, to carry genetic information that helps the body build immunity against future infections.
The revaccination used the same Sputnik V shot, based upon the same adenovirus vectors. The trial indicated this did not impact effectiveness, Logunov said in a statement to Reuters.
Some scientists have raised the possible risk that the body also develops immunity to the vector itself, recognising it as an intruder and trying to destroy it.
But developers of Sputnik V disagreed this would pose long-term problems.
“We believe that vector-based vaccines are actually better for future revaccinations than vaccines based on other platforms,” Logunov said.
He said that the researchers found that antibodies specific to the vectors used by the shot – which could generate an anti-vector reaction and undermine the work of the shot itself – waned “as early as 56 days after vaccination”.
This conclusion was based on a trial of a vaccine against Ebola developed earlier by the Gamaleya Institute using the same approach as for the Sputnik V shot.
Vector immunity is not a new issue but has come under renewed scrutiny as companies including Johnson & Johnson (NYSE:) anticipate regular COVID-19 vaccinations, like annual influenza shots, may be needed to combat new variants of the coronavirus.
(Reporting and writing by Polina Ivanova; Editing by Frances Kerry)
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'We're born Indian and we pass away white:' Indigenous leaders in California fear COVID deaths are going undercounted
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COVID ravaged McKinley County, where approximately 74%of the population is non-Hispanic Native American– primarily Navajo and Zuni– and access to resources is limited.
USA TODAY
For years, Betty Sigala spoke with her household about her death: she didn’t wish to be put on a maker and she didn’t want to pass away alone.
When she was admitted in June to the COVID-19 care ward at her regional healthcare facility, her household refused a ventilator. One of her grandsons persuaded the nurses to overlook the no visitors rule and let him in.
He set up an iPad so the family could speak to her, then held her hand as she passed away.
Her granddaughter, Leticia Aguilar, 37, lit a fire for her that lasted 4 days and 4 nights, a tradition of their Pinoleville Pomo Nation. She cut her hair in grieving, and sang and gave offerings to assist her granny on the yearlong journey she would take to her last resting location, according to their customs.
As Aguilar arranged for her grandmother’s burial, Liz Sigala, Aguilar’s aunt and Betty Sigala’s daughter, was confessed to emergency room care. She couldn’t breathe, gasping for air when she tried to speak.
Eleven days after her mom’s death, Liz Sigala died from COVID-19 The family held a double burial. Aguilar lit the fire as soon as again.
In the middle of the ceremony and grieving, Aguilar made certain to fill out both death certificates, marking each of them “Native American.” She was proud she could do this last thing for them.
” I’m so grateful that we had the ability to have them counted,” she remembered almost eight months later on. “It implied a lot for us as natives.”
Aguilar, who resides in Sacramento, feared that if she let healthcare facility staff fill out the kind her family would be misclassified as Latino, white or significant as “other.”
Native American leaders across California stated COVID-19 deaths have shrouded their communities, yet state figures show few American Indian individuals have passed away here compared to other states with considerable Indigenous populations Leaders and specialists fear deaths in their neighborhoods have actually been undercounted due to the fact that of a long history of Native Americans being racially misclassified.
This destructive practice can disallow native people from getting the assistance and resources they in fact need, they said.
California has the biggest number of American Indians and Alaska Natives in the United States and the biggest number of American Indians and Alaska Locals living in metropolitan. They are typically stated white, Latino or Black on official kinds by uninformed health center employees, according to neighborhood leaders and numerous studies. Sometimes they are simply noted as “other.”
Nearly 9,000 American Indians in California have been sickened by COVID-19 and 163 have passed away, according to the state public health authority.
Native American leaders said those figures do not reflect the death and sickness they have actually seen attack their communities, both on and off reservation land. It likewise does not show national information that reveals Native Americans, who are especially susceptible to COVID-19 since of persistent illness such as diabetes, heart disease and high blood pressure, are dying at horrifying high rates.
Data from the Centers for Illness Control and Avoidance shows American Indians and Alaska Locals are the single group hardest-hit by the pandemic. They are identified with COVID-19 at almost twice the rate of white individuals, hospitalized almost four times as often and pass away at a rate of 2 and a half times that of whites.
As of December, 2,689 non-Hispanic American Indians had died from COVID-19, according to the CDC. Nevertheless, lots of states do not separate out American Indians into their own category, which public health professionals recommend has reduced the total tally of native deaths in the United States.
In California, native individuals make up.3%of all deaths and medical diagnoses of COVID-19, and represent about.5%of the overall population, at about 330,000
The California Department of Public Health said it has actually worked to reduce circumstances of racial misclassification in recent years, however yielded that officials may have misclassified American Indians in an effort to avoid double-counting cases. Under state guidance, anybody who mentions they have American Indian heritage in combination with another race or ethnicity is counted as Hispanic/Latino or multiracial instead.
” This method is the national requirement for reporting disease rates and has several benefits,” the health department wrote in a statement to The Salinas Californian. “However, it likewise has restrictions. Any classification system will not have the ability to record the complexity and richness of racial identity.”
Acknowledging the problem doesn’t change the reality that the information is incorrect, specialists stated.
” The problem remains in the information itself,” stated Virginia Hedrick, executive director of the Consortium for Urban Indian Health, a California nonprofit alliance of service suppliers committed to improving American Indian health care. “I do not trust the state data. I haven’t ever.
” For me, this is a culminating event. This is historical injury playing out in real-time.”
Native American deaths go uncounted
For lots of Native Americans in California, it appears like every few weeks there’s another death. San Carlos Apache people member Britta Guerrero has actually contributed to a variety of funerals and attended a couple of via Zoom, streaming the proceedings in her living room. The familiar ceremonies and readings implied to direct her through her grief felt remote, unreal.
” I do not believe that we are able to even handle the injury of loss yet,” she said.
Guerrero, the executive director of the Sacramento Native American University Hospital, has actually seen 9 Native American individuals die in her instant circle over the past year. Her clinic has actually donated or sent flowers to a dozen more funerals.
” We’ve been trying to go through the motions of mourning and burying individuals,” Guerrero stated. “We understand a lot of people are missing, and we will not understand the gravity of that till we’re back together and we see who is gone.”
Guerrero’s own experience in the community and her operate in American Indian healthcare have shown her the official tally of American Indian deaths is too low.
” There’s misclassification there,” she stated, indicating the health department’s decision to count individuals with multiple racial heritages as multiracial or Hispanic/Latino instead of American Indian.
That sense of loss the living suffer is heightened by fear that their enjoyed ones may be scrubbed from American Indian history by an unreliable document.
Aguilar made certain she was the one to fill out her grandma and aunt’s death certificates. If she didn’t, she stressed her granny, who was of American Indian and Filipino descent, and her auntie, who had American Indian, Filipino and Mexican heritage, wouldn’t be categorized as Native American by healthcare facility personnel.
Aguilar became aware of how typical racial misclassification was in the run-up to the census last spring, which encouraged her to guarantee her family members’ deaths were counted. The concept that their identity and culture might have been erased by the state counting system made her sick with anger.
” That only adds to the invisibility of our people, that makes it harder for us to even access resources due to the fact that we can’t prove we exist,” she stated. “There is so much more meaning behind making sure we are effectively counted as native individuals.”
‘ We’re born Indian and we pass away white’
Evidence of racial misclassification of American Indians extends back decades.
A 1997 American Journal of Public Health research study that compared birth certificates of American Indians in California from 1979 to 1993 with death certificates throughout the same time period found that at the time of death, about 75%of native children were racially misclassified.
Misclassification was most likely if the kid lived in an urban county beyond Indian Health Service shipment areas.
And a 2016 report by the CDC discovered that nationally, American Indians were misclassified as much as 40% of the time on their death certificates.
These mistakes have significant repercussions. In one instance, racial misclassification resulted in undercounting the transmission of Sexually transmitted diseases through Arizona’s Native American population by approximately 60%, according to a 2010 Public Health Report post. An undercount can lead to less financing for treatment, in addition to additional unintended health effects, such as infertility, which is connected with untreated STDs.
” We’re born Indian and we pass away white,” said Hedrick, of the Consortium for Urban Indian Health. “I would argue that there are likely more Native Americans in health center beds that are racially misclassified” than we know.
Tribal members said each American Indian death needs to be counted as an American Indian death. To do otherwise is to more eliminate an individuals who have actually faced kidnapping and forced assimilation of their children, indentured bondage and an 1851 state-funded extermination order that killed as numerous as 16,000, just to find themselves uncounted, made unnoticeable.
State and county obstructions irritate tribal leaders
Tribal healthcare specialists and leaders said they have actually struggled to challenge the state’s information on COVID-19 deaths due to the fact that in some cases they were left in the dark by state and county federal governments. That left tribal leaders unable to include the spread of the infection on their own bookings and totally understand the threat.
Concerned about the high rate of COVID-19 amongst the state’s native population, California State Assemblymember James Ramos of the Serrano/Cahuilla people, chair of the Committee of Native Affairs, held a hearing on the variations in November. There, he found out some counties refused to communicate with tribal leaders even to tell them if there was a favorable case on the appointment because of health personal privacy protections. Other governments, such as state or county federal governments, are able to receive such information, which is more extensive than the COVID-19 information released on public sites.
In one case, pointing out HIPAA laws, a county refused to disclose case and death information to the chairman of the Yurok Tribe. The chairman supervises every element of the people, consisting of healthcare. The Yurok, whose booking straddles Del Norte and Humboldt counties in northern California, were forced to hire a health officer prior to they could get the needed information.
Neither Humboldt nor Del Norte counties right away responded to media requests.
Ramos said state and county government officials endangered native individuals by denying them info. He said California has a history of declining to understand or deal with tribal governments.
Ramos, the very first American Indian chosen to state federal government in California, hopes to see more native individuals elected at all levels of government to assist improve data collection and interaction between Native leaders and governments.
He stressed that if these problems aren’t taken on now, they will not be fixed prior to the next pandemic and will end in the death of more native individuals.
Ramos, too, has seen an enjoyed one succumb to the virus. His uncle, a senior in his tribe and a source of assistance and inspiration for Ramos, died of COVID-19 in February.
In Central California, the Tule River People in Tulare County also discovered itself cut off from potentially lifesaving data. Of its roughly 1,600 members residing on the booking, 179 have been identified with COVID-19, or approximately 11%. Another 177 of the 357 who live off the reservation have actually been stricken ill.
Adam Christman, chairperson of the Tule River Indian Health Center and Tule River Tribe Public Health Authority, stated California did not give the reservation university hospital access to the California Reportable Disease Info Exchange, the state system all screening entities report results to.
” Having access to that system would make it simpler for us to determine who ought to be separating based on those test results, and monitoring them for quarantine and contact tracing,” Christman stated.
After months of agitating for access, the people just gave up asking.
‘ Nobody’s going to assist us’
Without data or consistent government support, tribal leaders and members have actually leaned on each other to keep each other safe by social distancing, using masks and getting vaccinated.
After an outbreak of 6 cases, the Yurok tribal council closed its booking several times, suspended real estate and utility payments and offered materials such as food, PPE, firewood and emergency situation generators to homeowners. They likewise launched a contact-tracing team, a food sovereignty program and are working with United Health Providers on immunizing their eligible population.
” Generally the method we looked at it, no one’s coming, nobody’s going to assist us,” stated Yurok Tribal Chairman Joseph James. “We’re a sovereign government. There’s things we need to deal with to improve our daily lives and attend to our own people.”
Supporters and healthcare professionals at the Sacramento Native American Health Center have actually inoculated 72%of all American Indians 65 and older in the area eligible for the vaccine today, even more than the state or nationwide vaccination rate.
Ricardo Torres, a member of the Winnemem Wintu Tribe and secretary of the university hospital’s board, helps handle a COVID-19 outreach campaign that has actually seen thousands of native community members get masks and vaccines.
Over the last 12 months, Torres saw more than a dozen good friends and associates die from COVID-19 He frets more will follow, since only individuals 75 years and older initially had access to the vaccine in California. Native individuals born today have a life span of just 73 years, more than 5 years less than the U.S. average.
” Our population is young,” said Torres. “We don’t have a lot of 75- and-over people. They’re already dead … The people that we require to get immunized are the younger individuals.”
A history of mistreatment at the hands of medical service providers has caused mistrust in the native community, and the swiftness of the vaccine rollout did not stimulate comfort.
” People can be vaccine-hesitant,” said Guerrero, of the Sacramento Native American Health. “There’s an absence of trust in the federal government … so now we’re actually pressing a boulder up a hill.”
Until more Native Americans are immunized, tribal leaders stated community members will continue to voluntarily social range, wear masks and wish health.
” As the Indian individuals as a whole, as very first individuals of this country, we have actually handled pandemic, illness, illness, historically considering that the start of time,” said the Yurok People’s James. “Our individuals went through this prior to. We endured, and we’ll continue to endure.”
Kate Cimini is a reporter for The Californian. Share your story at (831) 776-5137 or email kcimini@thecalifornian.com Subscribe to support regional journalism.
Check Out or Share this story: https://www.usatoday.com/story/news/nation/2021/02/27/ california-natives-fear-covid-deaths-undercounted-native-americans/6838693002/
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